HealthieOne D2C

Schedule a HealthieOne Blood Draw

Provide your kit information and patient details to schedule your blood draw.
YesNo
NoYes
Please contact us at phlebfinders.com/contact

Patient Information

Please enter the patient's information below.
Patient's Full Name*

First NameLast Name
Patient's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Patient's Email Address*
example@example.com
Patient's Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code

Please let us know if your blood draw needs to be drawn within 3 business days. If so, you will be charged at the STAT pricing of $125.
YesNo
This blood draw will be billed and treated as a STAT request. We will add this to the top of our queue and work on this ASAP. This does not confirm coverage and the STAT pricing will be applied.
Mileage will be charged at $.72 per mile over 30 miles round trip.
Do you have a dollar amount that you would preapprove for mileage? If $0, we will contact you for approval.
Please review the Patient Services Agreement here: [Patient Services Agreement]
YesNo
Signature
In order to submit this order you must agree to the Patient Services Agreement. Please contact us if you have questions or concerns.
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Schedule a HealthieOne Blood Draw