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Create Your
Account
Basic Info
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Username
First Name
Last Name
Email
Phone
Fax
Agency Name
Agency code
Password
Confirm Password
Next
Physical Addres
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Street
City
State
Zip Code
Next
Mailing Address
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Street
City
State
Zip Code
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Mailing Notes
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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
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