Requisition Form
Complete this form and include it with your sample. Ordering provider details are required for physician orders and for residents of CA, CT, NJ, and RI.
DownloadImportant notice: An NPI listing using our company name was not authorized by us. To verify any contact, call 1-480-247-7430. Important notice about an unauthorized NPI listing. Learn more
Complete this form and include it with your sample. Ordering provider details are required for physician orders and for residents of CA, CT, NJ, and RI.
DownloadFor healthcare providers ordering test kits in quantity. A practicing license must be on file; submit the form by email to info@autismdiagnosticslab.com.
DownloadA step-by-step guide for collecting your first morning urine sample and preparing it for return shipping, plus a full list of your kit contents.
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