PRC Test Kit Order Form

PCR Test Kit Order Form

Renfrew County and District Health Unit is pleased to provide Multiplex Respiratory Virus PCR (MRVP) Tests Kits for your clients. Please allow 5 business days for order processing. Arrangements will be made for pick up from our Renfrew Hub or Pembroke Office locations. If you have any questions, please send an e-mail to outbreak@rcdhu.com. This form is reserved for Renfrew County and District retirement homes and long term care homes. RCDHU reserves the right to limit and/or decline requests based on supply and operational priorities.

Organization Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Contact Person(Required)

Contact person's email(Required)

Contact's person phone number(Required)

Number of PCR Tests Requested(Required)

Individual tests

Special Instructions

I agree that the PCR test kits obtained through this order will not be sold or offered for sale.(Required)

I agree

I disagree

CAPTCHA

Pembroke Office

141 Lake Street, Pembroke, Ontario K8A 5L8

Phone: 613-732-3629
Toll Free: 1-800-267-1097
Fax: 613-735-3067

Hours of Operation
Monday to Friday, 8 a.m. - 4 p.m.

Renfrew Service Hub (By Appointment Only)

120 Plaunt Street South, Renfrew, Ontario, K7V 1M5

PCR Test Kit Order Form

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PRC Test Kit Order Form

PCR Test Kit Order Form

What's Happening Soon

Pembroke Let's Grow with Immunization

Routine Immunization Clinics - Pembroke

Tuberculosis Testing Clinic - Pembroke

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Pembroke Office

Renfrew Service Hub (By Appointment Only)

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