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Required Package
The following service(s) is required to be performed by Viewpoint Screening:
Health Portal: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.




 
 
I have read, understand and agree to the Viewpoint Screening Disclaimer and Refund Policy.
Applicant Information
First Name*:  
Last Name*:
Middle Name:
Date of Birth*:
/
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(mm/dd/yyyy)
E-Mail Address*: IMPORTANT Your email address will be your user name to log in. If you have placed a previous order, it is recommended to use the same email address to prevent separate logins. Separate logins will contain separate results / medical documents, and cannot be combined.

 
Type E-mail address.


Re-type E-mail address.

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.
 
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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