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Want to Send FAX/EMAIL Order

The forms are presented in Adobe Acrobat format. If you do not have the Adobe Acrobat Reader software, please download it.

# Form
1 Illinois Requisition Form Download
2 Illinois Mobile Labs Order Form Download
3 Arizona Requisition Form Download
4 Arizona Mobile Labs Order Form Download
5 Texas Requisition Form Download
6 Texas Mobile Labs Order Form Download
7 HCI Texas Radiology Order Form Download
7 HCI Arizona Radiology Order Form Download
8 CCL Toxicology Order Form Download

You can now submit Online Orders easily by logging On CCL Portal

Client Portal Login

Need Lab Supplies For Your Office

The forms are presented in Adobe Acrobat format. If you do not have the Adobe Acrobat Reader software, please download it.

# Form
1 Illinois Supply Order Download
2 Arizona Supply Order Form Download
3 Texas Supply Order Form Download

You can now submit Online Orders easily by logging On CCL Portal

Client Portal Login