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This Blood Draw is forMyselfSomeone Else

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Serving Orange County, California

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Location TypeHomeOffice

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Document Upload

In order to properly service your request, please upload your laboratory order document(s) so that I can prepare for your blood draw. Upload up to 2 "Documents" or "Images"

File Upload

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File Upload

Drag & Drop Files, Choose Files to Upload

Agreement

• I accept OC Home Blood Draws Service Terms & Conditions. Once you submit your request. I will call you to confirm your ✓ appointment by 6 pm the date you submit your request. You will receive a confirmation email. Please call if you doubt your request was received.

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Service Terms and Conditions

● Payment is due at the time of service by cash, check, credit/debit card or Venmo.

● To cancel or reschedule your appointment call 1-949-480-1037

● OC Home Blood Draws DOES NOT accept insurance.

● OC Home Blood Draws Does Not provide you with a receipt that gives the required information for insurance reimbursement.

● OC Home Blood Draws DOES NOT draw blood from fistulas or ports.