Testing Order Form

Complete the following form to submit your testing request to Salimetrics. Include a copy of your submission with your samples

Customer Information

Billing Information

Please call 1.800.790.2258 to provide your credit card or payment information

Select the collection method used in your study. (Note: You can select multiple collection methods)

Sample Information

($20 fee per bio-shipper applies)

($20 fee applies)

Test Menu

Select your desired analytes for lab testing below. NOTE: Assays will be performed in the order selected below.

* indicates flow-rate correction recommended

Excel files preferred. Download Roster Template