Facility Startup

Notice: Users may experience issues using Internet Explorer. Aculabs advises using Google Chrome or Safari.

Please be aware that a pop-up will appear upon successful submission before being redirected back home.

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

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
Notice

1/5

Facility Info

Name of Facility (required)

Facility Phone Number (required)

Facility Fax Number (required)

Address Line 1 (required)

Line 2

City (required)

State (required)

Zip Code (required)

Your Name (required)

Your Email (required)

Corporation Name [or Privately Owned] (required)

Anticipated Start Date (required)

Medical Director

MD NPI #

Customer Rep (required)

Administrator's Name (required)

Administrator's Email (required)

Director of Nursing's Name (required)

Director of Nursing's Email (required)

Business Office Contact - Name (required)

Business Office Contact - Title (required)

Business Office Contact - Phone (required)

Business Office Contact - Email (required)

IT Department Contact - Name (required)

IT Department Contact - Title (required)

IT Department Contact - Phone (required)

IT Department Contact - Email (required)

Please list your facility's units, room numbers associated with each unit, and fax number for each unit. (required)

Do you have standing orders?
YesNo

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.

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.