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New Client SetUp Form

Account Information

Multi-line address
Practice Type
Estimated Monthly Volume
Transport / Shipping Information

Veterinarian Information

Electronic Order Entry Authorization

I hereby authorize the individuals listed below to electronically access MDL's web portal and order tests at my direction. I further authorize the individual(s) identified below as a “Site Administrator” to add and edit

user access for our practice/ facility.


Level1: Order current testing profiles and view profile components.

Level2: Full access to create, order, and edit profile components.

Access Level
Access Level
Access Level
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Schedule Onboarding Session (30 min)

Schedule Onboarding Session - Choose Date & Time
Month
Day
Year
Time
HoursMinutes

Schedule Web Portal Training (30 min)

Schedule Web Portal Training - Choose Date & Time
Month
Day
Year
Time
HoursMinutes

(Internal Use Only)

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