Blood Draw Appointment

Blood Draw Appointment
Fax Lab Orders to 888-466-4622.
Contact Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What date and time work best for you?
Any other specific date and time, if the above selection is not suitable.

MonthDayYear
Date
Hour MinutesAM/PM Option
Please provide detail info on specific times and dates. What services are you interested in and how long service needed?
Service Provided*
Payment for services provided by Prolab Solutions are collected prior to the appointment.*
How many patients ?*
Lab Used*
How Often?*
Next Steps - You will receive a phone call by ProLab Solutions to confirm details about your phlebotomy appointment. A Payment Invoice will be sent to the email provided. Payment for the fees must be received before the appointment date for us to proceed with the scheduled blood draw. If you cancel less than 24 hours before visit, you will have a $25 charge next visit.
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