Veterinary Diagnostics

Request a Sample Pick-up

VDx Pick-up and Supply Request Form

Please note that all pick-up requests submitted after 5PM will not be processed until the next business day.

Clinic name *
Account Number *
Requested By/Contact Name
Email for confirmation *
Phone
Would you like supplies delivered with your pick-up? Please check all that apply(Supplies will be delivered with your next pick-up.)
Check this box if you are only requesting supplies and are not requesting a pick-up:
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