Medical Necessity Validation

Technical Bulletins

Request Electronic Technical Bulletin

2023: Jan 

2022: Jan

Collection Guides

Micro-Molecular

Swab

Ambient Freeze Req

Forms

ABN Form: English | Spanish | Commercial

ABN Instructions

Acknowledgement of Preauthorization

HIPAA Notice of Privacy Practices

Medical Records Release Form:
English | Spanish

Monthly Statement Adjustment

Patient Demographics

Request for Name Change

Requisitions:

Anatomic | Clinical | Veterinary| Toxicology

Satisfaction Surveys: Client | Forensics

SARS-CoV-2 Fact Sheets:
Hologic Aptima ( Patient | Provider )
Hologic Panther ( Patient | Provider )
Roche cobas ( Patient | Provider )
Thermo Fisher TaqPath ( Patient | Provider )
Yale SalivaDirect ( Patient | Provider )
Siemens Atellica ( Patient | Provider )

Semen Collection Form: English | Spanish

Web Access Request Form

Antibiograms

2019 | 2020 b/w color | 2021 b/w color - All clients, All isolates

2019 | 2020 b/w color | 2021 b/w color - All clients, Blood / Systemic Isolates

2019 | 2020 b/w color | 2021 b/w color - All clients, Urine Isolates

2019 | 2020 b/w color | 2021 b/w color - All clients, Other Isolates

2019 | 2020 b/w color | 2021 b/w color - Family Practice / Specialists, All isolates

2019 | 2020 b/w color | 2021 b/w color - Hospital / Surgical, All isolates

2019 | 2020 b/w color | 2021 b/w color - Long Term Care (Rehab/Hospice), All isolates