Students Part 2 Clinical Immersion Program University of Illinois
Litholink Order Form. The patient completes the urine collection and sends the sample (s) back to the laboratory in itasca, il. If payment is a hardship please advise.
This test studies the urine and blood to determine your specific risk factors for forming kidney stones. The provider office supply order form is for providers and medical staff only. I have completed the insurance information form for that purpose. Your provider is waiting on these test results in order to start your kidney stone treatment plan. Web form or lab order directly to litholink we will have it on þ le. If payment is a hardship please advise. (please print and complete this test request form off if you wish to use manually.) You can order electronically through an emr, labcorp link, or manually with this test request form. They will mail you a box of supplies to. 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 i authorize litholink to bill my insurance company for the laboratory services ordered by my physician. The patient completes the urine collection and sends the sample (s) back to the laboratory in itasca, il. Litholink will bill you for your coinsurance and/or deductible. (please print and complete this test request form off if you wish to use manually.) Web view the order form for litholink’s most commonly requested office supplies. Detailed instructions, collection supplies, return shipping box, and a The provider office supply order form is for providers and medical staff only. 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. Web form or lab order directly to litholink we will have it on þ le.