To obtain laboratory services, we ask that you first complete this Client Information Form to create or amend your Origo Labs account. Please review and agree to our Terms and Conditions on the final page of this form. A laboratory associate will contact you if we have further questions.
If you have multiple business names or hold multiple licenses, we ask that you fill out a separate information form for each business, licensed facility, or each license type.
To ensure proper form submission please have all contact information ready prior to completing this form.