Please provide the general business information. This is where the testing supplies will be sent.

The primary clinic contact is responsible for dealing with all administrative issues, including: insurance information collection, full service testing scheduling, results reporting, etc.

Please enter the names and emails of the physicians at the clinic.

Please answer with a numerical value of how many tests you will need processed per month.

This information is vital for a smooth testing process. IF SUPPLIES ARE NOT MADE AVAILABLE TO OUR ON-SITE STAFF, WE CANNOT TEST. Please assign one person at your facility who will be responsible for responsible for receiving Discover Labs supplies shipments and making sure the supplies are available to our Discover Labs on-site staff on the day of testing.