Become a Service Provider

You

Your Organization

File a W-8BEN-E if you are an individual or organization located outside the United States. Otherwise file a W-9. Find our W-8BEN-E form with instructions here.


Upload Signed Tax Form

Your Services

Additional Information

A 9-digit number uniquely identifying your facility.
Certifications will require verification.
SciEX-main-48 Add a past client reference (optional)
Not sure if you're a covered entity? Find out here.
If you have any questions or need any assistance, please contact [email protected] or call 1-855-467-2439.