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Patient Information 

Please fill out the following information. This is needed for your upcoming blood work. 

Once you submit your information, a lab technician will be in contact with you to schedule your appointment.

Please note: Before your appointment please email a copy of your insurance card & doctors order. Also, the payment of $50.00 is due at time of serivce.

Thank you!

©2021 by Draws Made Simple LLC

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