Private Practice Ordering

Ordering a test from Coppe Laboratories is straightforward. If at any time you need additional information, please feel free to contact us at 262.574.0701 or

Coppe Laboratories sample collection kits containing a blood collection tube, packaging materials, instructions and prepaid return shipping are available upon request.

Download fillable PDF of blank form and save to your computer. At the time of sample submission, fill out all information completely and upload the form using the secure form submission button below.

Test Request Form  Form Upload

Please refer to the instructions, or the Sample Requirements Guide below to determine the type and quantity of sample needed for testing. Most tests can be done on the same tube of blood.