Request a Blood Draw

Tell us a little about what you need. We will contact you to confirm.

Submitting a request does not book an appointment. Your appointment is not confirmed until Vein GPS contacts you.

Please do not enter sensitive health information.

Do not include medical records, lab results, Social Security numbers, drug-test results, diagnoses, or other private health details in this form. We will discuss anything further by phone.

Your name

Phone number

Best way to reach you

City and ZIP code for the visit

We only need city and ZIP now. We will confirm the full address when we contact you.

What do you need?

Do you have a lab order?

Preferred dates or times

Anything else we should know?

For a child, you can share their age. Do not include diagnoses or results.

I understand this is a request only. My appointment is not confirmed until Vein GPS contacts me.

Prefer to talk? Call 252-375-4591 or email [email protected].