Get Test Request Form- Hospitaldirect - Viracor-ibt Laboratories

Completing the Test Request Form for HospitalDirect at Viracor-IBT Laboratories is essential for accurate testing and billing. This guide provides clear and supportive instructions for filling out the form online, ensuring you provide all necessary information for effective processing.

Follow the steps to accurately complete the form.

1. Press the ‘Get Form’ button to access the Test Request Form. The form will open in the appropriate digital format.
2. Begin by entering the account name and contact name in the designated fields. Ensure that the information is accurate to avoid any processing delays.
3. Fill in the account number and phone number. This information helps establish your account for billing purposes.
4. Complete the address fields, including address line 1, address line 2 (if necessary), city, state, and zip code. This ensures that correspondence is sent to the correct location.
5. Proceed to the patient information section. Enter the patient's name, phone number, birthdate, and medical record number, ensuring all details are correct.
6. Next, specify the specimen information including the specimen type and collection date. Choose the appropriate options from the available lists.
7. Select the tests required from the provided list. Make sure to check the boxes next to each test that applies.
8. Verify all entered information for accuracy. Make any necessary corrections before finalizing your submission.
9. Once all fields are completed and verified, save the changes to your form. You can then download, print, or share the completed form as needed.

Complete your Test Request Form online now to ensure timely and accurate testing.