LabOnline Registration for Clinical Testing

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This form is intended for healthcare-related facilities and their employees.

LabOnline allows the user to electronically request testing and access results for patients under their care.

Note, please complete this form using your work-affiliated email address.
Personal email addresses will undergo additional verification from their employer.

Upon completion of this form, you will receive a link to e-sign the LabOnline Terms of Use Agreement.

You will not be granted an account until we receive the signed agreement.

Questions? Call 303-692-3069 or email cdphe_labcoordinators@state.co.us

State of Colorado Accessibility Statement

In Google anmelden, um den Fortschritt zu speichern. Weitere Informationen

E-Mail-Adresse *

Which status best describes your request? *

I am looking for information regarding testing for my household.

I am health care provider, long-term care facility professional, laboratory professional, or LPHA

I am a school administrator looking for information to perform testing for my students and/or faculty.

Sonstiges:

First name *

Your first name.

Last name *

Your last name.

Phone *

Your 10-digit work-affiliated phone number. Numbers only.

Account type *

Facility *

The name of your facility or organization.

Street address *

The street address of your facility or organization.

City *

The city of your facility or organization.

ZIP code *

The ZIP code of your facility or organization.

Supervisor *

Person of contact at your facility to verify your employment.

Requested clinical tests *

Clinical Culture Testing, Microbiology

CRO ARLN

Clinical PCR, Molecular

STI, Serology

Sentinel Surveillance COVID-19

COVID-19 Testing

Outbreak PCR Testing, Molecular

Tuberculosis Testing, Microbiology

EIP Study, Microbiology

Sentinel Flu Surveillance

Viral Antibody Testing, Serology

Clinical LRN Reference Laboratory

CDC Specimen Submission Form 50.34 Required http://bit.ly/2n7byaq

Clinical Miscellaneous Testing

Clinical Whole Genome Sequencing

Sonstiges:

Pflichtfrage

Additional comments

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Dieses Formular wurde bei State.co.us Executive Branch erstellt.

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