Notice: To expedite the process for COVID-19 testing, Aculabs has set up the below form for facilities to fill out in order to make the onboarding process even easier. Further questions about using Aculabs for COVID-19 testing can be sent to info@aculabs.com.

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

    • 1

      Facility Info

    • 2

      Staff Info

    • 3

      Unit Info

    • 4

      Billing Info

    • 5

      Courier Info

    1/5

    Facility Info

    Facility Contact Information






    0%

    Administrator Information



    Director of Nursing Information


    Business Office Information


    IT Department Information


    25%

    Facility Unit Information


    Would you like your results faxed to this number?:(required)
    YesNo

    Specimen Fridge Information

    50%

    Face Sheet Information


    Invoice Information


    Accounts Payable Information


    Daily Census Information


    Monthly Census Information



    75%

    Specimen Collection Information

    Aculabs Specimen Box Location: (required)

    Special Pick-Up Instructions:

    If specimen box is located inside, does building ever lock?:(required)
    YesNo

    100%