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Courier Request

Whether you need a pickup from your office or assitance in coordinating a Fedex pickup, we are here to help.

Pickup Request

Are you scheduling a STAT pickup?

No

yes

Your First Name

Your Last Name

Date of Pickup

Type of Pickup

Local Courier Pickup

Fedex

Business Name

Street Address

Address Line 2

City

State

Zip Code

Preferred method of contact:

email

phone

E-mail address

Phone number

ORDERING PHYSICIAN & INSTITUTION

Ordering Physician

Name of Medical Practice or Organization

Organization

Sample Specimen Types

Blood

Urine

Respiratory Swab

Other

Please provide any other relevant information

Please share any additional information you would like our team to know about your request

Write here...

By submitting this application, I am certifying that all information provided is accurate and that all requests are considered pending until they are confirmed by Flow Health Logistics

Sample Pickup Request

We’ve received your request and it is being processed.

If you have any questions, our Logistics team can be reached at 855.551.3789 between 7:00am and 7:00pm PT, Monday – Friday.

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