Document request consent form
Requested documents will be sent out by the end of the business day
*When your results are ready, they are available for pick up right away. We will be able to email or fax your results to you by the end of next business day. Some test results are restricted and must be picked up in person.
**For self-pay patients, itemized receipts are available in 2 to 4 weeks. While payment receipts are provided at the time of service.
**There are no itemized receipts for patients using insurance, instead you will receive an EOB in the mail directly from your insurance provider after they process the claim. Payment receipts are provided on the day of service for any copayments paid.
**If you paid using our online payment link, your receipt has automatically been sent to your email. If for some reason you have lost that email, please allow 2 to 4 weeks for your receipt to be emailed to you.
**If you paid cash, your receipt was available at the time of service. If you are requesting for a copy of your receipt, please allow 2 to 4 weeks for your receipt to be emailed to you.
Please read and click to acknowledge the following:
1. Test results will be sent out at the end of the next business day, when they are available.
2. Itemized receipts will be sent out in 2 to 4 weeks.
3. The information you provided is accurate and signed voluntarily.
4. Please check your email spam folder.
5. Please submit only ONE form per request.