Order Creation - Xpedilab

Appointment Window(Required)

Date of appointment(Required)

Select a Service(Required)

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Lab Order and Insurance Information Upload(Required)

Yes - I would like to upload my lab order and insurance information now.

No - I will provide my lab order and insurance information at the time of my appointment.

Upload Prescription(Required)

Max. file size: 64 MB.

Insurance(Required)

Max. file size: 64 MB.

Xpedilab appointments are currently available in Miami-Dade, Broward and Palm Beach Counties

Appointment Location(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name*(Required)

First Last

Email*(Required)

Enter Email Confirm Email

Phone*(Required)

Confirm Phone*(Required)

Date Birth*(Required)

Card Number(Required)

0 of 16 max characters

Name on card(Required)

Expiration Date(Required)

Security Code(Required)

0 of 4 max characters

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Order Updates

I agree to receive text messages from Xpedilab.

Cancellation Policy(Required)

I agree to the cancellation policy & a 5% hold fee for confirmed appointments

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