Please assist us in the approval process by uploading a scanned copy of Certification/Association relavent to your modality:
We will require authorisation from the business owner to proceed with credit account set-up.
Credit Application Declaration
I/We hereby apply for credit with Medlab Clinical Limited and certify that the information supplied
in this application is true and correct. I/We authorise Medlab Clinical Limited to conduct a Credit
History Check with an external Credit Agency. I/We understand that all information will be treated as
confidential and will not be supplied to any other organisation.
If you do not have a dispensary and are interested in patient billing, a Medlab Practitioner consultant will be in contact with you.
I / We have read and agree to the Terms and Conditions,
Terms of Sale
displayed on the Medlab website. I / We agree to comply with and be bound by
these policy documents (which may be amended or updated from time to time).
Should you have any enquires on Medlab Clinical Pty Ltd Terms and Conditions,
email@example.com or call 1300 369 570.
By clicking on the the submit, you Agree to the
Terms and Conditions,
Terms of Sale &
Please check to agree to our Terms & Conditions.