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Please note: If you complete this form and send the request in and DO NOT immediately receive a confirmation code, do not assume that you have an appointment. Please call the office at 888-977-5776 for help making your appointment. When one slot is requested by two or more parties at once only the first one completing the form will get the appointment. You may try again for a confirmation code but, again, without a confirmation code you do not actually have an appointment to be serviced for your medical test.