Client Registration
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To become a new client of Patients Choice Laboratories, simply fill out the form below. Once submitted, a member of our team will reach out within 24 hours.
We are excited about working with you and your patients!
Clinic Information
Office Contact
Provider Information
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Report Preferences
Select the method you prefer to recieve patient results.
Shipping Preferences
Shipping Provider
Pickup Preferences
Pickup Days (select multiple days if needed)
Estimated Monthly Volume
Miscellaneous Info
Select Requested