PRINTED COPIES OF LAB AND RADIOLOGY REPORTS

Tuesday, October 13, 2009 at 11:57:49 AM

All Providers

The UHSH Laboratory and Radiology departments are assessing the need for providers to receive printed copies of their reports. If you are currently receiving printed copies and no longer wish to receive them please print this form, check which department you no longer wish to receive and fax to Laboratory Client Services at (607) 763-5252. The Laboratory will notify Radiology of your request.

Thank you,

John Walters,Laboratory Manager

Joan Hensberry,Radiology Manager

_______________________________________________________________

Provider Office/Location:_________________________________________

I no longer wish to receive printed copies of:

☐ Laboratory Reports

☐ Radiology Reports

Signature:___________________________________________

Date:__________________________________________



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