Stool Collection Instructions Storage & Shipping Non-Invasive • Convenient • Precise

*STOP! - Be sure to follow all detailed instructions provided Storage & Shipping Instructions: in your kit. • Complete the patient portions of the test requisition form (front

and back). • If liquid spills from vial, please contact your provider for a General Specimen replacement. To avoid need for recollection, add stool sample until • Write patient’s name and date of birth on all vials. liquid reaches upper groove of vial (located just below bottom edge • Write name and address on top of shipping box. of lid). Do not freeze stool collections. Collection & • Ship all samples together within 1-3 days of last collection. (Keep refrigerated). Shipping Step 1: • Be sure required test orders are marked on the form. Collect stool on plastic wrap,  If they are not marked, please contact your provider for test orders. Instructions then transfer enough to raise • Include check or credit card information and copy of Medicare or liquid in vial to the upper insurance card if applicable. Please do not send cash. groove (Located at base of • Place vials, requisition form, and payment into shipping box. Please see your test kit for lid) Step 1 specific collection instructions US Domestic: and vials needed.

Step 2: Tuck front flap into box and seal with UPS mailing label (included in

Use spoon to box). Place label within dashed lines and adhere over front edge. TYPES OF COLLECTION break up clumps and Send from your most convenient UPS location. Saliva • Stool stir thoroughly. Replacement and expedited UPS labels are available on our website at diagnostechs.com/Pages/ShippingInfo.aspx. Step 2 Step 3 International: Step 3: Remove spoon from lid. Delivery charges do apply. (Discard spoon.) Seal box with clear tape. International deliveries should be addressed to the physical address only (see address provided below). Deliveries can be made Monday through Friday via a private courier of your choice. Step 4: Discounted return UPS labels are available on our website Cap tightly. at diagnostechs.com/Pages/ShippingInfo.aspx. CLINICAL & RESEARCH LABORATORY Shake vigorously for 1 Step 4 minute. Refrigerate vial Diagnos-Techs, Inc. until ready to ship. 800.878.3787 • diagnostechs.com Clinical and Research Laboratory (Do not include spoon.) 6620 South 192nd Place, J-106 Kent, WA 98032 USA Specimen Test Kit Contents Saliva Collection Instructions*

The Science of Laboratory Medicine

Easy Shipping 1. Place vials, requisition form and payment into kit box and seal with UPS mailing label. 2. Please send from UPS store.

Please Write Name and Birth Date NO test form included— on ALL Vials and Front of Form NO test run Have the following items beenfor test completed? orders) Test form complete with:  Name, address, gender, birth date, and collection date  Test choices marked (if not, please contact your provider Payment  If you are responsible to pay -or-  Copy of Medicare or Insurance card, front & back  Review shipping instructions before sealing Direct Vial Collection (H Vial and F/L Vial):

The Leading Lab in Saliva 1989 TestingSaliva Since in Lab Leading The 5th line from

• Non-invasive specimen collection

City State Zip State City • High-quality laboratory servicelopment The bottom Street

• Education and interpretive support Patient name Patient • Ongoing research and deve 5 ml 5 ml 5 ml 5 ml www.diagnostechs.com Please attach UPS mailing label here. (5ml fill line) 4 4 4 4 1. Collect liquid saliva directly into the vial. 3 3 3 3

2 2 2 2

1 1 1 1 www.diagnostechs.com

I N

D

E A

X D R

P E A

N

N A

L

E

L S T

R E

S

S 5 ml

H

E

A

L 2. Fill to the fifth line from the bottom (5ml)

T

H T

Please attach UPS mailing label here. label mailing UPS attach Please H NTEST P I of test panels by contacting your healthcare provider provider healthcare your contacting by panels test of IN

E O A A R

L

B Find out more information about our full line T N

S O

E A

N

L E G

L E

Find out more information about our full line line full our about information more out Find of test panels by contacting your healthcare providerLE H N H O O R E A

R T A A P

M or visiting www.diagnostechs.com IN N LT H

• Non-invasive collection C

www.diagnostechs.com visiting or • High-quality laboratory service O M D E

• Ongoing research and development N E ALE O E N

AUS L M O E F P A A O O M P L

B O N N E P E F

A E E excluding foam (approximately 3/4 full).

A

H

L N U L

T M E

E S E N A P L A

L L L E H N E ST 4 L R

A E O A

N S L H N H N P O

H S

E E R

R O A O A M E M R P O N H N R R P

D M E O E A O N M O N E A A P

N L T H

E F L

E E P

M I N A N

A D P A

N L E X

E

E

L

www.diagnostechs.com

O H R

M

O

N

E

M

P

A A

L 3. If too much foam is present to collect to the N E

E

L

Please attach UPS mailing label here. label mailing UPS attach Please

P FO

A O

D N Ongoing research and development and research Ongoing •

I E

N

L

T

High-quality laboratory service laboratory High-quality • O

L

E

R

A Non-invasive collection Non-invasive • E N

C fifth line of the vial, cap vial tightly and place Collect liquid saliva Fill to the 5th line from the

H E

A

L G T A

S

H T

R P

O

A I

N N

T

E E

What’s in theS Box?

L T

I N directly into the vial. L A in the freezer for 2-3 minutes. bottom (5ml), excluding foam. At least 3/4 full. Please attach UPS mailing label here.

Patient name Remove vial from freezer, tap it on a tabletop to

• Test vials www.diagnostechs.com Street City State Zip settle the foam and resume filling to 5ml line. • Zip lock bag with absorbent orange shipping pad The Leading Lab in Saliva Testing Since 1989 4. Recap the vial tightly, place in zip lock bag • Requisition form

with the absorbent orange shipping pad and 5 ml • UPS return shipping label refrigerate. Mail all samples together as soon 4 3

2 as possible within three days of collection. 5 ml 1 5 ml Kit box contents will vary depending on the test ordered. 4

4 The number of vials may differ from the picture above. 3

3 2 * Write name and date of birth on all vials and on Be sure to follow all detailed instructions 2 front of requisition form. provided in your test kit. If too much foam, place into freezer 2-3 minutes. Tap on Recap vial tightly; place in zip solid surface to settle foam. lock bag with absorbent orange shipping pad and refrigerate. Mail within three days. Types of test vials:

Collection Using Cotton (HC Vial):

5 ml 5 ml 5 ml Exp. Date: 01/01/2016 Doe Doe Doe Doe R 4 D 4 4 1. Remove the cotton from the vial and place it

3 3 3 Jane Jane Jane

Jane under tongue until it is fully saturated. 2 2 2 F/L Name: H Vial Name: HC Vial Name: Preservative Fluid Specimen Transport Fecal B Vial B Vial Name: 1 1 1 2. Return cotton to vial, cap vial tightly and 5 ml

place in zip lock bag with absorbent orange 4 H F/L HC A B shipping pad. Refrigerate and mail all samples 3 Vial Vial Vial Vial Vial together within three days of collection. 2 Saliva Saliva Saliva Stool Stool Be sure to follow all detailed instructions 5 ml 5 (Blue cap) (Green cap) (Blue cap (Brown cap (Brown cap Remove cotton from vial provided in your test kit. 4 Return cotton to vial; cap vial W/cotton) W/spoon) W/spoon) and place under tongue 3 tightly; place in zip lock bag with until fully saturated. absorbent orange shipping pad. 2

1