02
/ 04
Create Your
Account
Basic Info
Enter below details to register your self & proceed.
Username
First Name
Last Name
Email
Phone
Fax
Agency Name
Agency code
Password
Confirm Password
Next
Physical Addres
Enter below details to register your self & proceed.
Street
City
State
Zip Code
Next
Mailing Address
Enter below details to register your self & proceed.
Street
City
State
Zip Code
Save
Mailing Notes
Enter below details to register your self & proceed.
Mailing instructions
Select service type
Select service type
Default
Mail in lab kit
Mail to companies
Mail to medical company office
Deliver to agent’s office
Mail to agent’s office
Fax to company
Fax to medical company
other
Paper Handling notes
Internal notes
Accounting notes
Save
