Please review fields with red border. Account Registration 1. Create Online Access 2. Contact Information 3. Additional Information Step 1: Animal Health Diagnostic Center Registration Please enter your login information: 1. Email Address * Your address will not made public. This will also be your username. 2. Choose a Password * Must be at least 8 characters long and must include 3 of the following: uppercase letters, lowercase letters, numbers, special characters (!, @, #, $, etc.) Verify Password * 3. Access Requested * Please request access desired. Result AccessView Invoices / Make PaymentsOnline OrderingOther Proceed » Step 2: Contact Information Please tell us more about yourself: 1.First Name * 2.Last Name * 3.Address (Or Clinic Address) * 4.City* 5.State (or Province)* —- US States —- Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 6. Enter Your Zip Code * This must be a numeric value « Back Proceed » Step 3: Additional Information If you are currently a client of AHDC, please tell us more: 1.Clinic Name 2.Premise ID 3.Phone Number 4.Account number « Back In an effort to provide our authorized Veterinarians, Clinicians, and Animal Clinic/Hospital clients with the best service possible, the laboratory provides online access and test results to these accounts. Authorized clients interested in registering for this service can do so by submitting an electronic request form. Upon submitting the registration, you will receive an e-mail acknowledging the request. Account features such as instant shipping labels will not be available on the account portal until your registration has been verified. Once the request is verified and the web account created, you will receive a second e-mail, with your logon information.