Information Packet for Physicians

Request a Packet

We’ll send your information pack within 1-2 business days. Please don’t hesitate to call or email with any questions in the meantime: 617.623.7447 | lab@bedfordresearch.org

How many information packets do you need?*
Name*
Title First Last Suffix
Company/Practice Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number (optional)
Fax Number
Email*
How did you find us?
- Postcard
- Another physician
- A patient
- Internet search
- Other