Provider Order Form
- All physician information is required to process an order. Minimum of 5 kits per order.
- You must be a registered as a practitioner with RealTime to order kits.
- For drop shipment, please provide the patient’s information. Limited to 1 kit per order.
- Free drop-shipping to the U.S. and Canada* for prepaid tests or $15 drop-shipping fee** for non-prepaid tests.
* Free shipping to most areas of Canada. Additional shipping fees may apply in certain areas with higher than average costs. A Realtime Laboratories representative will contact you before shipping to confirm any additional charges and you may cancel your order if you do not wish to pay the extra fee.
** An additional $15 fee will be charged to either the practitioner or the patient for all drop shipments that are returned due to incorrect address.