Order Creation - Xpedilab

1. Appointment Date and Time

Date of appointment(Required)

Appointment Window(Required)

2. Appointment Location

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

3. Patient Information

Name*(Required)

First Last

Email*(Required)

Enter Email Confirm Email

Phone*(Required)

Confirm Phone*(Required)

Date Birth*(Required)

4. Choose a Service

Select a Service(Required)

Blood Draw or Urine Collection - $79
Speciality Testing - $99

Hidden

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.

Are you sure?

DISCLAIMER: I am opting to not upload my lab order and insurance information now and will instead provide it at the time of the appointment. I understand that I will not receive service and be charged for my appointment if I fail to provide the needed information at the time of the appointment.

5. Billing Information

Card Number(Required)

Name on card(Required)

Expiration Date(Required)

Security Code(Required)

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

Book an Appointment

1. Appointment Date and Time

2. Appointment Location

3. Patient Information

4. Choose a Service

Are you sure?

5. Billing Information

Patients

Partners

Company