Request a new Lab or Radiology Interface
Please submit this form once for each laboratory or radiology provider you wish to interface with.
Your E-mail (for important action items and status updates)
If you'd like to include a colleague in status updates, include their email here
Your Full Name
Does your practice go by any alternate names? (optional)
Number of Physicians at your Practice (est.)
How many locations/addresses does your practice have? (est.)
Most of our customers have 1 practice location, but some have dozens of locations.
Which Laboratory or Radiology Provider would you like to interface with? Please note that interfaces are not guaranteed and are subject to approval by labs/rads.
If Other, please provide an email address for a laboratory sales representative or IT point of contact who can evaluate the cost of an interface. (strongly recommended)
Do you want to receive results, or send orders as well?
I only want results in my EHR
I want to send orders from my EHR as well
How long have you been a customer of this laboratory or radiology provider?
Recent estimated monthly ordering volume with this laboratory or radiology provider? (orders, not tests)
Do you have a point of contact at the lab / radiology provider?
Do any of the following apply?
I'm switching to this lab or radiology provider from another one.
I'm switching EHRs (or recently switched)
We are a newly founded practice / business. ( < 6 months)
Did you have an interface with your previous EHR?
Which EHR are you leaving / who was your prior EHR vendor?
If you are not using your new EHR yet, do you have a planned start date with your new EHR?
Do you use or plan to use RXNT's Practice Management product?
Unsure / Other
Optional Onboarding Code (ignore this unless otherwise indicated by your EHR onboarding team)
Please note that as a next step, you will need to initiate contact with your laboratory or radiology provider. We will provide instructions to let you know how to do this, and how to notify us when complete.
Please verify that you are human
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