Schedule A Pickup

Practice Name (Account Name) *Required

Contact Person's Name *Required

Phone *Required

E-Mail *Required

Address *Required

Address Line 2

City *Required

State *Required

Zip *Required

Select Your Preferred Carrier *Required

Select a 2-Hour Pickup Window *Required

*Pickups scheduled after 2:00 PM are subject to courier availability for same-day pickup, and may be picked up the following day.

Special Instructions

Type The Word (Anti-Spam) *Required

Important Pickup Info

This form is for scheduling same-day or next-business-day specimen pickups and is available only to current partners with an account number.
Pickups scheduled after 2:00 PM are subject to courier availability for same-day pickup, and may be picked up the following day.
Please complete the form with the company information that corresponds to your account.

(888) 975-7447

Mon - Fri 8:00 AM - 5:00 PM CST

Fax: (337) 783-3502

Info@Harvest-Labs.com