For Prospective Clients

Interested in MercyOne Des Moines Laboratory services?

If you are a prospective client who is interested in MercyOne Des Moines Laboratory services, please complete the questionnaire below with information regarding your organization and then click ‘Submit’. After providing this information, one of our Outreach Services Coordinators will contact you with more information about getting started with MercyOne Des Moines Laboratory services. 

Do not submit personal information, including usernames and passwords, social security numbers, or personal health information through this questionnaire, as this form is not a secure method of communication with MercyOne Des Moines Laboratory representatives.

• If you are a current client, please visit our page for current clients.
• If you are a patient, please visit our page for current and prospective patients.

Prospective Client Intake Questionnaire