Submit a Case

Thank you for choosing VitalLab! In order to provide you with maximal flexibility, we have three methods for submitting your case:

Option 1: Submit through our Labzona Portal. If you do not already have an account with us, please enter your email below and we will send you an invitation.

Option 2: Submit through the secure form below.

Option 3: Download the PDF Prescription Form and either:

Scan/fill out digitally and email to info@vitallab.ca
Or mail to our office: Vital Lab Inc. 880 Lady Ellen Place G6, Ottawa, ON, K1Z 5L9

Not ready to submit yet? Consider our Free Case Consultation service.

VitalLab: Digital Case Submission (Encrypted)

Step 1 of 2

Doctor Information

First Name

Last Name

Phone

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date Wanted

Best Time To Call You

When is the best time for us to reach you via telephone?

Send:

Boxes

RX Pads

Please Call

Patient Information

First Name

Last Name

Patient Age

Patient Sex

Male

Female

Submit A Case

VitalLab: Digital Case Submission (Encrypted)

Doctor Information

Patient Information

Instructions

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