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Notice: Please ensure that we have all updated facesheets. This information will be required to make the Online Order Entry process is as quick and efficient for your nursing staff as possible. It may be easier to allow us access to your EMR. As well, facesheets can be emailed to facesheets@aculabs.com.

Please ensure that all files are properly compressed and appropriately encrypted before sending. 

  • Facility Info
  • Staff Info
  • Unit Info
  • Billing Info
  • Important Notice

FACILITY CONTACT INFORMATION

Administrator Information

Director of Nursing Information

Business Office Information

IT Department Information

FACILITY UNIT INFORMATION

BILLING INFORMATION

Can we have access to your EMR system? (required)
Your EMR System (required) PointClickCareSigmaCareOther
If "other", please specify what EMR system you use (required)
Do you have Part A Days? (required)
Do you HMO Days? (required)

Required for clients with Part A and/or HMO Days

Do you have AL and/or IL beds? (required)

Required for Assisted Living and Independent Living Clients only

Do you have our Advanced Beneficiary Notice (ABN) on File for Medicare Part B patients?
If not, click on the link below to access blank ABN to have on file for your facility.
ACULABS - BLANK ADVANCE BENEFICIARY NOTICE (PDF)

Placing Standing Orders

Do you have standing orders?
Notice: It is vitally important that the standing orders indicate the months the orders are to be drawn. If the list of standing orders does not include dates, it will be necessary to ascertain the dates or make a decision on what dates you wish us to input all of your reoccurring orders. It will be important to make sure the laboratory orders we receive coincide with your physician’s orders.

Submitting Physician Information

Please ensure your file is in .pdf, .doc, or .docx format and under 5MBs in size.
To help assist us as much as possible, please be aware that you'll need to assemble a listing of information you have on relevant physicians. This listing should include physicians' names, addresses, phone numbers, fax numbers, and NPI numbers. You may submit it as an attached document for convenience.