Redo Request

Optogenics is pleased to make your redo work easier. Upon submission of this form, our data entry operators will work to get your redo moving through the lab ASAP. We will confirm the receipt of the redo request by email and, if there are any issues or questions, we will reach out to you for further assistance.

Account Name * :

Please enter account name

Account # * :

Please enter account number

Contact Name * :

Please enter contact name

Contact Phone * :

Please enter contact phone.

Contact Email * :

Please enter contact email.

RX Identifier * :

Please enter RX identifier.

Reason for Redo * :

Please select Reason for Redo.

Job Type * :

Please select job type.

Comments or change instructions :

Please enter comments

Your Go-To 24 Hour AR Uncut Lab

Redo Request