Personal Information
Address
Labs And test kits
Date and time
Payment Information
If you have not received your collection kit please call Prodrome at 951-550-0505 or email them at cs@prodrome.com.
If you have more than one collection kit, please be sure to submit a request for each individual kit.
The selected date and time is tentative; However, we will try our best to accommodate your request. A technician will confirm your appointment within the next 48-72 business hours.
Date:
Time:
Address:
Lab Name:
Test:
Payment:
Note:
