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Holy Family Memorial, Inc. 2300 Western Ave., PO Box 1450, Manitowoc, WI 542211450Laboratory Direct Access Consent Form Direct access laboratory testing allows individuals to request tests without

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How to fill out laboratory direct access consent

01

Obtain the consent form from the laboratory or download it from their website

02

Read the form carefully and ensure you understand all the information provided

03

Fill out your personal information including name, date of birth, address, and contact information

04

Sign and date the form to indicate your consent for direct access to your laboratory results

05

Return the completed form to the laboratory either in person or by mail

Who needs laboratory direct access consent?

01

Any individual who wants to have direct access to their laboratory test results without involving a healthcare provider

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What is laboratory direct access consent?

Laboratory direct access consent allows individuals to directly order lab tests without a physician's order.

Who is required to file laboratory direct access consent?

Any individual who wishes to order lab tests directly without a physician's order.

How to fill out laboratory direct access consent?

The consent form can typically be filled out online or in person at the testing facility.

What is the purpose of laboratory direct access consent?

The purpose is to give individuals greater control over their healthcare by allowing them to order lab tests without a physician's involvement.

What information must be reported on laboratory direct access consent?

Personal information such as name, address, and contact details, as well as the specific tests to be ordered.

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