Health Management Systems, Corp.

888-300-4672         

We offer the highest quality products for Point-of Care Testing!

 

 Permanent Test Site Submission

 

If you would like to be added to our Permanent Test Site Page, please submit the following information:

USE THE TAB OR MOUSE, NOT THE ENTER KEY, TO MOVE BETWEEN FIELDS.  The enter key will submit the form.  If you hit the enter key prior to completion of the form, use your back button and continue filling out the form.  Click submit or Enter when done.

Company Name:

Contact Name:

Physical Address of testing location:


City:  ST:  Zip: 

Phone #:

Fax#:

Email Address:

 
 Does the customer need to call for an appointment?   YES or  NO

Location hours or available times for walk-ins:                                                              

Comments:

    
 


If you have any questions or problems with this site, please call Health Management Systems, Corp. customer service at 888-300-4672