Litholink Order Form. You have been given a test request form to complete a 24 hour urine collection. Your provider is waiting on these test results in order to start your kidney stone treatment plan.
Ordering Literature « New England Intergroup
They will mail you a box of supplies to. You have been given a test request form to complete a 24 hour urine collection. I have completed the insurance information form for that purpose. Web 24 hour urine collection (litholink) instructions. Web i authorize litholink to bill my insurance company for the laboratory services ordered by my physician. If payment is a hardship please advise. You can order electronically through an emr, labcorp link, or manually with this test request form. The patient completes the urine collection and sends the sample (s) back to the laboratory in itasca, il. The provider office supply order form is for providers and medical staff only. Litholink will bill you for your coinsurance and/or deductible.
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. You will complete this test at home. You can order electronically through an emr, labcorp link, or manually with this test request form. I have completed the insurance information form for that purpose. If payment is a hardship please advise. Detailed instructions, collection supplies, return shipping box, and a The provider office supply order form is for providers and medical staff only. Your provider is waiting on these test results in order to start your kidney stone treatment plan. (please print and complete this test request form off if you wish to use manually.) They will mail you a box of supplies to.
