Pcr testing form 2026

1. Click ‘Get Form’ to open the PCR Testing Submission Form in the editor.
2. Begin by entering your LTM Customer ID#. If you are a new customer, simply write 'NEW' in this field. Existing customers can find their ID# on previous result reports.
3. Fill out the Customer Information section, including your institution's name, address, city, state, and zip code. Ensure all required fields marked with an asterisk (*) are completed.
4. In the Payment Information section, choose your payment method—either by Purchase Order (PO) or Credit Card. If using a credit card, provide the last four digits and expiration date only for security.
5. Complete the Sample Information section by confirming that your samples do not contain infectious agents. Sign and date this section before proceeding.
6. Finally, review all entries for accuracy and click ‘Submit’ to finalize your form submission.

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