Product Order Form for HK & Matrix

Customer Order Form

Additional information

Orders received before 2pm will be dispatched for next working day delivery.

I am a:

Matrix Diagnostics customer

Hampton Knight customer

Company Name(Required)

Cost Centre Code or Property Tag(Required)

Purchase Order (PO)(Required)

Please note that we cannot process orders without POs

Contact Name(Required)

First Last

Contact Telephone(Required)

Contact Email Address(Required)

Delivery Address(Required)

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

Urine Dip Cards

Would you like to order any Urine Dip Cards?(Required)

Yes

MD1 201 – AMP/COC/MET/OPI2000/THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 202 – AMP/BZO/COC/MTD/OPI300

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 203 – AMP/BZO/COC/MTD/OPI300/THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 204 – AMP/BZO/COC/MET/OPI2000/THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 205 – AMP/BUP/BZO/COC/MTD/OPI300

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 221 – 6MAM (Heroin) / Opiates

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 222 – K2 Spice / K2-AB 3rd Generation Spice

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 223 – Gabapentin / Pregabalin

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 224 – Methadone / Opiates

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 225 – 6MAM (Heroin) / Cocaine

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 226 – Buprenorphine / EDDP

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 227 – Benzodiazepines / Cannabis

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 231 – Fentanyl / Ketamine / Tramadol

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD-U53-25 – Fentanyl / Nitazenes / Xylazine

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 251 – MCAT / MDPV / MEP / PHP / PVP

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 207 – AMP – BUP – BZD – COC – MTD – OPI – THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 220 – AMP/BAR/BZO/COC/MET/MTD/OPI2000/PCP/TCA/THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 233 – AMP – BUP – BZD – COC – EDDP – K2 – METHAMP – OPI – THC – TRA

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

Urine Dip Cards Grand Total

Price: £ 0.00

Consumables

Would you like to order any Consumables?(Required)

Yes

MD4 105 – Standard collection cup with screw top lid

Each item is sold individually

Price per pack

Total

Price: £ 0.00

MD4 107 – Temperature strip collection cup with screw top lid

Each item is sold individually

Price per pack

Total

Price: £ 0.00

MD4 110 – Urine adulteration strips

Each tube contains 25 strips

Price per pack

Total

Price: £ 0.00

MD4 118 – Bluing Tablets

For use in drug testing collections to prevent adulteration. Each bottle contains 100 tablets.

Price per pack

Total

Price: £ 0.00

MD4 101 – Powder free clear vinyl gloves (S)

Price per pack

Total

Price: £ 0.00

MD4 102 – Powder free clear vinyl gloves (M)

Price per pack

Total

Price: £ 0.00

MD4 103 – Powder free clear vinyl gloves (L)

Price per pack

Total

Price: £ 0.00

MD4 104 – Powder free clear vinyl gloves (XL)

Price per pack

Total

Price: £ 0.00

Consumables Grand Total

Price: £ 0.00

Urine Drug Cups

Would you like to order any Urine Drug Cups?(Required)

Yes

MD1 117 – AMP – BUP – BZD – COC – EDDP – OPI – THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 170 – AMP – BUP – BZO – COC – EDDP – OPI300 – 6MAM

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 118 – AMP – BUP – BZD – COC – MTD – METHAMP – OPI – THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 108 – AMP – BUP – BZO – COC – EDDP – OPI300 THC – PGB

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 188 – AMP – BUP – BZO – COC – EDDP – OPI300 THC – MTD

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 110 – AMP – BAR – BZO – THC – COC – KET – MTD – MET – MDMA – OPI – PPX

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 NWR- AMP – BZD – THC – COC – KET – MTD – MDMA – OPI – OXY – TRA

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

Urine Drug Cards Grand Total

Price: £ 0.00

Urine Drug Key Cups

Would you like to order any Urine Drug Key Cup?(Required)

Yes

MD1 126 – AMP/BZO/COC/MET/OPI2000/THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 140 – AMP/BZO/BUP/COC/KET/MET/MTD/OPI/TRA/THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 133 – AMP/BUP/BZO/COC/K2AB PIN/KET/MET/MTD/OPI/THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

Urine Drug Key Cups Grand Total

Price: £ 0.00

Oral Fluid Testing

Would you like to order any Oral Fluid Testing products?(Required)

Yes

MD1 416 – AMP/BZO/COC/MET/OPI/THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 426 – BUP/BZO/COC/MTD/OPI/THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 533 – AMP – BUP – BZD – COC – K2 – KET METHAMP – MTD – OPI – THC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

MD1 422 – AMP/BAR/BZO/COC/KET/MET/MTD/OPI/PCP/PPX/THC/ALC

Each pack contains 25 tests

Price per pack

Total

Price: £ 0.00

OFK 002 – Oral Fluid Laboratory Collection Kit

Price per pack

Total

Price: £ 0.00

OFL 001 – Oral Fluid Straight Screen

Results reported within 1 working days of reaching the laboratory.

Price per pack

Total

Price: £ 0.00

OFL 002 – Laboratory Confirmation Analysis

Results reported within 3 working days of reaching the laboratory or issue of screen result.

Price per pack

Total

Price: £ 0.00

Oral Fluid Testing Grand Total

Price: £ 0.00

Laboratory kits

Would you like to order any Laboratory kits?(Required)

Yes

LCK 001 – Urine Laboratory Collection Kit

Price per pack

Total

Price: £ 0.00

LCC 003 – Urine Laboratory Screen

Price per pack

Total

Price: £ 0.00

LCC 001 – Standard Laboratory Confirmation Analysis

Price per pack

Total

Price: £ 0.00

Laboratory Kits Grand Total

Price: £ 0.00

Blood Borne Virus Testing

Would you like to order any BBV testing kits?(Required)

Yes

MHIV – HIV instant antibody detection test

Each pack contains 10 tests

Price per pack

Total

Price: £ 0.00

MHCV – HCV (Hep C) instant antibody detection test

Each pack contains 10 tests

Price per pack

Total

Price: £ 0.00

MHBsAg – Hepatitis B Surface Antigen (HBsAg)

Each pack contains 40 tests

Price per pack

Total

Price: £ 0.00

MSYP – Syphilis rapid test

Each pack contains 10 tests

Price per pack

Total

Price: £ 0.00

Blood Borne Virus Testing Grand Total

Price: £ 0.00

Single Cassettes

Would you like to order any Single Cassettes?(Required)

Yes

MD1 355 – Ethyl Glucuronide

Each pack contains 40 tests

Price per pack

Single Cassettes Grand Total

Price: £ 0.00

Alcohol Testing Products – Intoximeter Breathalyser

Would you like to order any Intoximeter Breathalysers?(Required)

Yes

MDA FST PRIN – Intoximeter breathalyser with thermal printer

Each pack contains 1 instrument, printer, hard protective carry case and instructions

Price per pack

Total

Price: £ 0.00

MDA FST MP – Replacement mouthpieces for Intoximeter unit

Each pack contains 100 individually wrapped mouthpieces

Price per pack

Total

Price: £ 0.00

PR1 – Replacement printer rolls

Price per pack

Total

Price: £ 0.00

MDA FST-1 – Service Contract 1 Year

The service contract will include an annual service, 2 calibration checks every six months, re-adjustment and repairs – including parts and labour. The contract does not cover physical damage or misuse of the instrument.

Price per pack

Total

Price: £ 0.00

Intoximeter Breathalyser Grand Total

Price: £ 0.00

Alcohol Testing Products – Lion Breathalyser

Would you like to order any Lion Breathalyser-related products?(Required)

Yes

SD 700 – Lion 700 breathalyser

Each pack contains 1 instrument, protective pouch and instructions

Price per pack

Total

Price: £ 0.00

MP 700-1 – Replacement Lion 700 mouthpieces

Each pack contains 250 individually wrapped mouthpieces

Price per pack

Total

Price: £ 0.00

PK 700 – Lion 700 printer kit

Each pack contains 1 printer, hard protective carry case and instructions

Price per pack

Total

Price: £ 0.00

PR 700-1 – Replacement printer rolls

Each pack contains 1 item

Price per pack

Total

Price: £ 0.00

LSC 700-1 – Service Contract 1 Year

Price per pack

Total

Price: £ 0.00

Lion Breathalyser Grand Total

Price: £ 0.00

Rapid Pregnancy Test

Would you like to order any Rapid Pregnancy Tests?(Required)

Yes

MD3 104 – Single pregnancy (HCG) test

Each pack contains 50 tests

Price per pack

Total

Price: £ 0.00

Rapid Pregnancy Tests Grand Total

Price: £ 0.00

Policy Development

Would you like to order any Policy Development-related products and services?(Required)

Yes

SAP 001 – Substance Misuse Policy Written Report

Price per item

Policy Development Grand Total

Price: £ 0.00

Training

Would you like to order any Managers and Supervisors Awareness Training-related products and services?(Required)

Yes

DAT 002 – Managers and Supervisors Awareness Training Remote

Price per item

Total

Price: £ 0.00

DAT 003 – Managers pocket guide for dealing with an incident

Price per item

Total

Price: £ 0.00

Managers and Supervisors Awareness Training Grand Total

Price: £ 0.00

Would you like to order any Worker Education and Training-related products and services?(Required)

Yes

DAT 004 – Worker Guidance Leaflet

Price per item

Total

Price: £ 0.00

DAT 005 – Worker Guidance Booklet

Price per item

Total

Price: £ 0.00

DAT 006 – Awareness and Education Posters A3

Price per item

Total

Price: £ 0.00

DAT 007 – Awareness Training for Employees

Price per item

Total

Price: £ 0.00

EL 001- Employee Awareness Video

Price per item

Total

Price: £ 0.00

Worker Education and Training Grand Total

Price: £ 0.00

Would you like to order any Competency Training-related products and services?(Required)

Yes

COCT 001 – Manager and Supervisor Competency Training (1 Product) On-site

Price per item

Total

Price: £ 0.00

COCT 002 – Manager and Supervisor Competency Training (2 Products) On-site

Price per item

Total

Price: £ 0.00

COCT 001 – Manager and Supervisor Competency Training (1 Product) Remote

Price per item

Total

Price: £ 0.00

COCT 001 – Manager and Supervisor Competency Training (2 Products) Remote

Price per item

Total

Price: £ 0.00

DAT 001 – Competency Training (1 Product) Train the Trainer

Price per item

Total

Price: £ 0.00

DAT 001a – Provision of Train the Trainer Materials

Price per item

Total

Price: £ 0.00

Competency Training Grand Total

Price: £ 0.00

Would you like to order any E-learning Awareness Training-related products and services?(Required)

Yes

DAT 008 – e-learning Awareness training for Managers and Supervisors

Price per item

Total

Price: £ 0.00

COCT 010 – e-learning Awareness training for Employees

Price per item

Total

Price: £ 0.00

E-learning Awareness Training Grand Total

Price: £ 0.00

Alcohol Testing Products

Would you like to order any Lion Alcolmeter-related products or services?(Required)

Yes

SD 700 – Lion Alcolmeter 700

Price per pack

Total

Price: £ 0.00

PK 700 – Lion Alcolmeter 700 Printer Kit (Hard Carry Case)

Price per pack

Total

Price: £ 0.00

LSC 700-1 – Service Contract 1 Year

Price per pack

Total

Price: £ 0.00

MP 700-1 – Replacement Mouthpieces

Each kit contains 250 items

Price per pack

Total

Price: £ 0.00

PR 700-1 – Replacement Printer Rolls

Price per pack

Total

Price: £ 0.00

Lion Alcolmeter Grand Total

Price: £ 0.00

Would you like to order any Intoximeter-related products or services?(Required)

Yes

MDA FST PRIN – Intoximeter breathalyser with thermal printer

Price per pack

Total

Price: £ 0.00

MDA FST MP – Replacement Mouthpieces

Price per pack

Total

Price: £ 0.00

PR1 – Replacement Printer Rolls

Price per pack

Total

Price: £ 0.00

MDA FST-1 – Service Contract 1 Year

Price per pack

Total

Price: £ 0.00

Intoximeter Grand Total

Price: £ 0.00

Drug Testing Products

Would you like to order any Drug Testing Products?(Required)

Yes

HKDC 2006 – HK Urine DrugCup 6

Each pack contains 25 tests. The drugs detected cover: Amphetamines, Benzodiazepines, Cannabis, Cocaine, Methamphetamine (inc Ecstasy) and Opiates (inc heroin).

Price per pack

Total

Price: £ 0.00

HKDC 2010 – HK Urine DrugCup 10

Each pack contains 25 tests. The drugs detected cover: Amphetamines, Barbiturates, Benzodiazepines, Cannabis, Cocaine, Ketamine, Methadone, Methamphetamine (inc Ecstasy), Opiates (inc heroin) and Propoxyphene.

Price per pack

Total

Price: £ 0.00

MD1 NWR – Network Rail DrugCup 9

The drugs detected cover: Amphetamines, Benzodiazepines, Cannabis, Cocaine, Ketamine, Methadone, Methamphetamine (inc Ecstasy), Opiates (inc heroin) and Tramadol.

Price per pack

Total

Price: £ 0.00

Drug Testing Products Grand Total

Price: £ 0.00

Urine Laboratory Kits and Analysis

Would you like to order any Urine Laboratory Kits and Analysis-related products or services?(Required)

Yes

LCK 001 – Urine Laboratory Confirmation Collection Kit

Kit includes: pre-paid postal envelope, 2 x specimen vials, 2 x transport tubes, bar-coded tamper evident seals, chain of custody form

Price per pack

Total

Price: £ 0.00

LCC 003 – Urine Straight to Laboratory Analysis

The drugs detected cover: Amphetamines, Benzodiazepines, Cannabis, Cocaine, Methamphetamine (inc Ecstasy) Opiates (inc heroin).

Price per pack

Total

Price: £ 0.00

LCC 001 – Standard Laboratory Confirmation Analysis

Price per pack

Total

Price: £ 0.00

Urine Laboratory Kits and Analysis Grand Total

Price: £ 0.00

Oral Fluid

Would you like to order any Oral Fluid Testing-related products or services?(Required)

Yes

ORT 002 – HK Oral fluid DrugCube 6

Each pack contains 25 tests. The drugs detected cover: Amphetamines, Benzodiazepines, Cannabis, Cocaine, Methamphetamine (inc Ecstasy) and Opiates (inc heroin).

Price per pack

Total

Price: £ 0.00

ORT 004 – HK Oral Fluid DrugCube 10+

Price per pack

Total

Price: £ 0.00

OFK 002 – Oral Fluid Laboratory Confirmation Collection Kit

Price per pack

Total

Price: £ 0.00

OFL 001 – Oral Fluid Straight to Laboratory Analysis

The drugs detected cover: Amphetamines, Benzodiazepines, Cannabis, Cocaine, Methamphetamine (inc Ecstasy) Opiates (inc heroin).

Price per pack

Total

Price: £ 0.00

OFL 002 – Laboratory Confirmation Analysis

Price per pack

Total

Price: £ 0.00

Oral Fluid Grand Total

Price: £ 0.00

Grand Total

Price: £ 0.00

*Standard delivery fee is £14

Customer Order Form

Urine Dip Cards

Consumables

Urine Drug Cups

Urine Drug Key Cups

Oral Fluid Testing

Laboratory kits

Blood Borne Virus Testing

Single Cassettes

Alcohol Testing Products – Intoximeter Breathalyser

Alcohol Testing Products – Lion Breathalyser

Rapid Pregnancy Test

Policy Development

Training

Alcohol Testing Products

Drug Testing Products

Urine Laboratory Kits and Analysis

Oral Fluid

We are hiring!