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Required Package

This package includes document storage. At the end of the order process, you will have the capability to upload specific documents required by your school for immunization, medical or certification records.

Health Portal:Viewpoint Screening Review (indefinitely)
Price:$20.00


I have read, understand and agree to the Viewpoint Screening Terms of Use and Refund Policy .

You are placing an order for

WESTERVILLE

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Applicant Information
Do not place an order on someone's behalf. This form must be filled out by the individual who requires Viewpoint Screening services.  
First Name*:  
Last Name*:
Middle Name:
Date of Birth*:
/
/
(mm/dd/yyyy)
E-Mail Address*:  IMPORTANT 
Your email address will be your user name to log in. Login names cannot be changed.

Please make sure you are entering your correct email address. You will be unable to log in or receive communications from Viewpoint Screening if your email address is not valid.


 
Type E-mail address.


Re-type E-mail address.

 If you already have an account: 
Please use the same email address associated with your current account to prevent separate logins.

Separate logins will contain separate results / medical documents, and cannot be combined.


 
Current Residential Address:
Address*:
City*:
State or U.S. Territory*:

For an international address, select "International" and select the foreign Country name below.
Country*:
Zip Code*:
ZIP Code Look Up Tool
Please Note: If you have an international address that does not require a Zip Code, please fill in "00000".
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