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Schedule Blood Draw

Schedule a Blood Draw Appointment with Our Concierge Phlebotomy Service

Aviir offers ultimate convenience through our Concierge Phlebotomy Service. A courteous and professional phlebotomist comes to you at your home or work to draw your sample. Just fill out the information below to schedule your appointment.

Patient First Name:

Patient Last Name:

Patient Phone Number:

Patient Email Address:

Address for Service to be Performed

Street
Suite, Apt., Etc. (Optional)

City:

State:

Zip:

Insurance Information*

*Please fill in all 5 insurance information fields OR your Medicare No.

Insurance Company:		I.D. or Policy No.
Policy Holder First Name		Policy Holder Last Name
Group No.

OR
Medicare No.

Appointment Details

1^st Choice Appointment Date

Preferred Time

AM/PM

2^ndChoice Appointment Date

Preferred Time

AM/PM

If you need an appointment within 24 hours, please contact Aviir Client Services at 888-287-4217 to schedule.

A confirmation will be sent to you shortly via email or by phone.