Litholink Order Form

LABORATORY CORP OF AMERICA HOLDINGS FORM 8K March 16, 2011

Litholink Order Form. Web i authorize litholink to bill my insurance company for the laboratory services ordered by my physician. This test studies the urine and blood to determine your specific risk factors for forming kidney stones.

You will complete this test at home. Web lab_corp_collection_form.indd 1 7/2/13 1:15 pm p e e welcome to litholink. Web view the order form for litholink’s most commonly requested office supplies. The provider office supply order form is for providers and medical staff only. This test studies the urine and blood to determine your specific risk factors for forming kidney stones. Web form or lab order directly to litholink we will have it on þ le. Detailed instructions, collection supplies, return shipping box, and a You have been given a test request form to complete a 24 hour urine collection. Web litholink contact information, provider registration forms, or provider supply order forms. Web i authorize litholink to bill my insurance company for the laboratory services ordered by my physician.

Call us with any questions about billing or insurance at 800 338 4333. Web litholink contact information, provider registration forms, or provider supply order forms. Call us with any questions about billing or insurance at 800 338 4333. Your provider is waiting on these test results in order to start your kidney stone treatment plan. Web i authorize litholink to bill my insurance company for the laboratory services ordered by my physician. Web lab_corp_collection_form.indd 1 7/2/13 1:15 pm p e e welcome to litholink. I have completed the insurance information form for that purpose. You have been given a test request form to complete a 24 hour urine collection. The provider office supply order form is for providers and medical staff only. Litholink will bill you for your coinsurance and/or deductible. (please print and complete this test request form off if you wish to use manually.)