NOTICE: We have temporarily replaced our webform Rx with a downloadable PDF.


You may complete the PDF in your web browser by clicking on the link below.
To download, right-click (Ctrl-click on the Mac) and save the PDF to your desktop for later use.


NWR Rx Form


Once a completed form is saved in your local database, it may be sent via your preferred method of contact to the appropriate lab from the options below:


Bellevue
E-mail: bellevue@nwrad.com
Fax: (425) 450-5605

Northgate
E-mail: northgate@nwrad.com
Fax: (206) 528-2929

Tacoma
E-mail: tacoma@nwrad.com