Enter Patient Information
Desired Time Slot
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10:30am
11:00am
11:30am
12:00pm
2:00pm
First Name
*
Last Name
*
Date of Birth
*
Select your reason for visit:
Blood Draw
Drug Screen
Pediatric Patient
Pick Up Container
Pick Up Results
Police Officer
Specimen Drop Off
Toxicology Collection
Transplant
TriMet Post Accident
Urine Sample
Cell Phone Number
*
Text message confirmation will be sent.
Contact Name (if different from patient)
Reserve Time