Lakeland Health Care

Email Forms Manager

**Note:  Federal regulations enable us to supply only those materials necessary to submit specimens to our facility for testing.**

* Indicates required information
Lakeland Laboratory Forms Supply Order Form 
Date *  Calendar (mm/dd/yyyy)
Client Name * 
Client Address * 
Forms 
ABN's 
Instruction Sheets (Please specify sheet and quantity for each) 
Laboratory Test Requisition 
Pathology/Cytology Test Requisition 
Tracking Logs 
Authentication * 

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Patients & Visitors

For Patients
Maps & Directions
For Visitors
Phone Numbers

Online Tools

For Visitors
For Physicians
For Associates
Find Education
Laboratory Test Catalog
Pay Your Bill Online
Refer a Patient
View the Nursery

Quality & Safety

Awards & Recognition
It's Okay to Ask
Quality Care

Locations

Center for Outpatient Services, St. Joseph
Hospice at Home Lakeland HealthCare Affiliate
Lakeland Community Hospital, Niles
Lakeland Community Hospital, Watervliet
Lakeland Regional Medical Center, St. Joseph
Lakeland Specialty Hospital, Berrien Center
 
Lakeland HealthCare Affiliate Physician Practices
© 2013   Lakeland HealthCare   1234 Napier Avenue   St. Joseph, Michigan 49085   1-800-968-0115
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