COVID Order Refund Request

Enter Your COVID Order Refund Request Below

Thank you for your refund request. We will cancel your appointment. The funds will return to your account in up to 2 weeks.

Enter Each Order Individually

Payor Name(Required)

First Last

Amount to Refund(Required)

Email(Required)

Phone(Required)

Test Order(Required)

Appointment Date(Required)

Last 4 Digits of Purchase Credit Card(Required)

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