Become a Laboratory Client

Becoming a Spectrum Health Laboratory Client offers outreach services to physician offices, clinics, laboratories, and continuing care facilities. Becoming a client allows for

• Correct routing of patient lab reports to your office via fax or electronic system. An Account Manager will work with you to choose your best option.

• Specimen collection supplies.

• Courier pickup, if available in your area.

• 24/7 support by contacting our Laboratory Customer Service Call Center.

• Specimen collection education, including our online test directory and collection manual.

Please fill out the following form and a Laboratory Services Account Manager will contact you in 2-5 business days.

New Client Request Form:

Note: This is not a secure form. Please do not use this form to send health information about a patient. For more information review our Patient Privacy Policy.

    Your First Name*:
    Your Last Name*:
    Your Email*:
    Your Phone Number*:
    Your Role*:

    Preferred Start Date*:

    Office Information:
    Office Name*:
    Office Address*:
    Suite Number:
    City*:
    State*:
    Zip*:
    County*:
    Office Phone Number*:
    Office SECURE Fax Number:
    Office Specialty:

    I am interested in (check as many as applicable):

    Additional Information or Comments

    This form is monitored Monday – Thursday 8 am – 4 pm and Friday 8 am – 2 pm. You will be contacted within 1 – 3 business days (excludes holidays and weekends)