Litholink Order Form. The provider office supply order form is for providers and medical staff only. Web form or lab order directly to litholink we will have it on þ le.
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Your provider is waiting on these test results in order to start your kidney stone treatment plan. I have completed the insurance information form for that purpose. The patient completes the urine collection and sends the sample (s) back to the laboratory in itasca, il. This test studies the urine and blood to determine your specific risk factors for forming kidney stones. Detailed instructions, collection supplies, return shipping box, and a 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. You have been given a test request form to complete a 24 hour urine collection. 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.
This test studies the urine and blood to determine your specific risk factors for forming kidney stones. This test studies the urine and blood to determine your specific risk factors for forming kidney stones. (please print and complete this test request form off if you wish to use manually.) Web form or lab order directly to litholink we will have it on þ le. They will mail you a box of supplies to. The provider office supply order form is for providers and medical staff only. Litholink will bill you for your coinsurance and/or deductible. The patient completes the urine collection and sends the sample (s) back to the laboratory in itasca, il. Detailed instructions, collection supplies, return shipping box, and a 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.
