The purpose of this form is to update your report delivery preferences so that you will receive only final reports except as noted below (see Important Note). Please complete one form per address to update your reporting preferences. The details you provide will also be used to maintain our client records. If you have any questions about completing this form, please contact us at contactus@lifelabs.com * Indicates required
Healthcare Provider First Name *
Healthcare Provider Last Name *
Clinic / Hospital Name *
Current Clinic/Practice/Hospital Address *
City *
Postal Code *
Province * British Columbia Ontario
Phone *
Fax *
Email *
Comments
By completing and submitting this form, you are requesting to have your reporting preferences updated. Important Note: If any tests remain incomplete after 48 hours, the system will automatically release the results that are ready, even if some tests are still pending. This ensures that providers receive timely information without unnecessary delays.
Information collected on this form will be collected, used and/or disclosed in accordance with applicable privacy legislation for the purpose of client file management including report delivery and results communication. Questions about this collection may be directed to LifeLabs’ Privacy Office by calling 1-844-783-6677 or emailing privacy@lifelabs.com.