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Request Service

Use this page if you are a new client, need employer account setup, are unsure which service to choose, or have a request that should be reviewed before scheduling.


Complete the form below and Beacon will review your request and follow-up with next steps.

When to use Request Service


  • are a new client

  • need employer or account setup

  • are not sure which service you need

  • have a same-day, after-hours, or special request

  • need Beacon to review details before scheduling

Program Type
Employer / Workplace
Legal
Clinic / Healthcare
Personal / Individual
Insurance / Exam Support
Other
Collection Type Needed
Appointment Type
Standard Appointment
Same-day request
After-hours / weekend request
Service Location Type
Home
Office
Clinic
Job Site
Other
Preferred Time
Time
HoursMinutes

Please provide as much detail as possible to help us respond effectively to your inquiry.

For employer accounts and ongoing service needs, ask about setting up a service agreement.

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