• ZRT Laboratory is pleased to offer accounts to qualified healthcare providers.

  • If you are a domestic health care provider in the USA, please complete this form to establish an account with us. If you are outside of the USA, please click here to fill out our international form.

  • If you are not licensed to order laboratory testing, please email us or call 866.600.1636.

  • Contact Information

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  • Other Information

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  • Test Resuts are available through the myZRT secure web portal. Please provide an email address for login instructions. A confirmation email will be sent to this email.

  • Office Contacts

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  • Billing

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  • Click here to see a detailed description of available payment options.

  • Signature

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  • Ordering Provider Agreement: By typing my FULL name below, I indicate that all information is correct. Also, I acknowledge that only licensed healthcare professionals may order laboratory testing for others, and it is my responsibility to abide by any local, state or federal laws that regulate ordering tests for others.

* required information