Request a Test

Request a Test • Schedule a Collection

Schedule your collection support.

Use this form when you’re ready to request testing/collection support. We’ll confirm the details, coordinate scheduling, and provide next steps. Service area includes Lake Charles (30-mile radius).

Call: (337) 447-3558 Email: [email protected]

Important: CoreKonnect provides collection and coordination services. Laboratory analysis and results are performed and issued by partner laboratories.

Complete the form below and we’ll contact you to confirm scheduling

Request Details

Thanks! Your request was sent. We’ll reach out to confirm scheduling.

Something went wrong. Please try again or call (337) 447-3558.

Full Name

Phone

You are requesting for

Company / Program Name

Reason

Collection Type

How many people?

Collection Location

Service area: Lake Charles + 30-mile radius (including Sulphur, Westlake, and Moss Bluff).

Preferred Date/Time

How soon do you need it?

Preferred Contact Method

Where should results go?

Notes / Special Instructions

I understand CoreKonnect provides collection/coordination services and partner laboratories perform analysis and issue results.

Reminder: For urgent/same-day needs, call (337) 447-3558.

What happens next

We review your request and confirm details.
We coordinate scheduling and provide pricing/next steps.
We complete intake + collection documentation.
Partner lab performs analysis and issues results to authorized parties.

Phone: (337) 447-3558 Email: [email protected] Website: core-konnect.com

Privacy: Please do not submit sensitive personal medical information through this form.