Enter Patient Information
Desired Time Slot
*
No slots available
1:00pm
1:15pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
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