ALCHEMED LABORATORY DETAILS

As part of our project to facilitate the integration of your practice with various laboratories, we need you to to provide certain information and preferences. Laboratory details are collected to enable a push integration, which allows laboratory results to be sent automatically into your patients’ files within Alchemed. Please complete the details for your relevant laboratory or laboratories below.

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Clinician First Name *

Clinician Last Name *

Email *

Practice Name *

Practice Number *

Clinician Ampath Number

Clinician Ampath Number (confirm correct)

Clinician Lancet Number

Clinician Lancet Number (confirm correct)

Clinician Pathcare Number

Clinician Pathcare Number (confirm correct)

(confirm Clinician Name

Please select to indicate your Lancet Preferences *--- Select Choice ---Integration = Results fed automatically into your patient fileIntegration & Email = Results fed automatically into your patient file + email received with resultsIntegration & Hand Delivery = Results fed automatically into your patient file plus Hand delivery of results

Submit