Send a Case

Submitting a case is easy! Please choose from the options below.

Use Our Client Portal

Our client portal enables you to easily submit and manage your cases online. Registration is free and easy, just click the button below to get started.

Submit an Online Request

Please use the form below to provide information about your case and to start the process. We will send shipping labels and supplies for your order. If you have questions please call us directly at 847-592-4577.

Online Case Form

Please use the form below to provide information about your case and to start the process. We will send shipping labels and supplies for your order. If you have questions please call us directly at 847-592-4577.

Doctor's Name(Required)
Address
We will use this address to send you pre-paid shipping labels.
Drop files here or
Max. file size: 5 MB, Max. files: 10.
    If you have files to include please upload them here. Please note that file size is limited to 5MB.