These “Terms of Service” and “Privacy Agreement” will govern our relationship and are a contract governed solely by Florida law. Please read them carefully. Our service is not available in NY, NJ, MA, or RI.
Using Our Service
You have two options to order lab testing:
(1) Conveniently order any lab test and manage your order history at our website using your personal account. Please refer to our Basic Ordering Instructions for more information. (hyperlink to Basic Ordering Instructions)
(2) Ordering Physicians may also order lab tests using a complete requisition. Please email the requisition to orders@4PMD.com. You may also fax them to 813-434-2377. If faxing them, we recommend calling 15-20 minutes after doing so to ensure we have successfully received them
You must maintain a valid credit card on file prior to ordering lab tests. You may incur a per patient phlebotomy charge at the draw site/facility, in addition to the costs of each test ordered. The phlebotomy charge is added to your bill and not collected at the draw station. Your credit card will be charged when the test order is submitted. Charges are itemized by patient and will appear on your emailed receipt or fax coversheet. A cumulative monthly statement is available for an additional nominal fee. Further, in the event that your credit card on file is declined, you agree and authorize 4PMD, LLC to attempt to charge your credit card until all unpaid transactions are satisfied. In the event your credit card is declined, 4PMD, LLC reserves the right to suspend your lab testing privileges or terminate your 4PMD, LLC account completely.
Payment must be made through America n Express, Visa, MasterCard, or Discover. You must maintain a valid credit card on file at all times. I authorize 4PMD, LLC to keep my signature on file and charge my credit card for every test ordered by me through 4PMD, LLC on the date the order is submitted to the lab. We will send your receipt through your online account or by email as an attachment. Please carefully review your receipt and save it for your records. If you have any questions or concerns about your bill you must contact us within 30 days to notify us of the charges you wish to dispute. Thereafter, if you fail to notify us you will waive all rights to dispute charges. Should you fail to have a valid credit card on file, or your credit card is declined for any reason, you understand that your ordering privileges at 4PMD will be suspended or terminated in the sole discretion of 4PMD and you will have 30 days to pay your bill in full. After 30 days, interest and any credit card charges or chargebacks will be added to your bill and accrue at the rate of 1% simple interest per month.
4PMD reserves the right in its sole discretion to refer any past due account to collections or an attorney at law.
You must maintain current contact information, credit card information, and professional license information with 4PMD. You may file a Cancel Membership Form to terminate your lab testing privileges with 4PMD, but in any event the remainder of these Terms of Service will remain in effect until all outstanding invoices are paid.
Please visit our website at www.4PMD.com for helpful information including our test directory, test information, price list and educational resources. Links to technical information for most lab tests are available in the test description found on our website. You may also visit Labcorp’s test menu online for more information regarding specific tests:
NOTE: We cannot collect and/or ship specimens for other companies. You will need to contact those companies directly for assistance.
For Ordering Physicians
I understand that 4PMD does not accept insurance or file insurance claims and that I am ultimately responsible for all aspects of the care and well-being of my patients.
I agree to follow the Basic Ordering Instructions and complete all forms according to 4PMD guidelines for both paper and electronic requisitions, and if I do not, my membership maybe suspended or terminated at the sole discretion of 4PMD. I assume all financial responsibility for the costs of testing ordered by me regardless of when testing occurs.
I am submitting a true and correct copy of my professional license for documentation purposes to obtain requisitions and order laboratory tests for my patients. I agree to advise PCS of any changes in my license status, office address, phone number, billing information, or credit card information within a reasonable time period or sooner as required by these Terms of Service or law. I represent that my license is good and valid each time I request lab testing from 4PMD. I also represent that my license authorizes me to perform the testing I request from 4PMD and that I will comply with all laws associated therewith. I will follow all laws and rules governing the use of laboratory work as determined by my licensing board. I further agree that I understand 4PMD provides an administrative service for me. As such, 4PMD does not make any representations or warranties as to the results of any lab tests or the efficacy of any courses of treatment. All responsibility for the well-being and care of my patients is borne by me. I hereby represent to 4PMD that I have obtained all proper authorizations required by law from the patient before using the services offered by 4PMD and I accept all responsibility for any acts or omissions resulting therefrom. I hereby agree to defend and hold 4PMD harmless for my errors and omissions related thereto. I also agree to indemnify, defend and hold 4PMD harmless for any act or omissions resulting from my negligence in following the terms of this agreement or in the treatment of my patients. I represent that I have read and submitted the 4PMD Privacy Agreement. Finally, I understand that service is not available in NY, NJ, MA, or RI.
4PMD and I agree that any claim or dispute arising among 4PMD and I, or against any agent, employee, successor, or assign of the other, whether related to this agreement or otherwise, and any claim or dispute related to this agreement or the relationship or duties contemplated under these Terms of Service, shall be resolved in the state or federal courts of Hillsborough County, Florida. I hereby expressly waive jurisdiction and venue in any other court. This agreement shall be interpreted in accordance with the laws of the State of Florida.