Litholink Order Form. Web litholink contact information, provider registration forms, or provider supply order forms. Web form or lab order directly to litholink we will have it on þ le.
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Web litholink contact information, provider registration forms, or provider supply order forms. Litholink will bill you for your coinsurance and/or deductible. Web view the order form for litholink’s most commonly requested office supplies. 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. Your provider is waiting on these test results in order to start your kidney stone treatment plan. The patient completes the urine collection and sends the sample (s) back to the laboratory in itasca, il. Call us with any questions about billing or insurance at 800 338 4333. You can order electronically through an emr, labcorp link, or manually with this test request form. Web form or lab order directly to litholink we will have it on þ le.
Web i authorize litholink to bill my insurance company for the laboratory services ordered by my physician. (please print and complete this test request form off if you wish to use manually.) I have completed the insurance information form for that purpose. Web lab_corp_collection_form.indd 1 7/2/13 1:15 pm p e e welcome to litholink. This test studies the urine and blood to determine your specific risk factors for forming kidney stones. Web 24 hour urine collection (litholink) instructions. The patient completes the urine collection and sends the sample (s) back to the laboratory in itasca, il. Web form or lab order directly to litholink we will have it on þ le. The provider office supply order form is for providers and medical staff only. Web view the order form for litholink’s most commonly requested office supplies. Your provider is waiting on these test results in order to start your kidney stone treatment plan.
