Labcorp Verification PDF Details

Labcorp Verification Form is a document that is used to verify the identity of the individual. It can also be used as a means of identification for the individual. The form is used by LabCorp to ensure that they are providing services to the correct individual. The form must be filled out completely and accurately in order to be processed. Any discrepancies may result in delays or potential denial of service. It's important that you fill out this form accurately and legibly to avoid any potential issues. Be sure to enter your date of birth, Social Security number, and other identifying information correctly. If you have any questions about how to fill out the form, be sure to ask your physician or LabCorp representative for assistance.

Below are some details about labcorp verification. It is definitely worth spending some time to read this prior to starting filling in your document.

QuestionAnswer
Form NameLabcorp Verification
Form Length1 pages
Fillable?Yes
Fillable fields6
Avg. time to fill out1 min 27 sec
Other nameslabcorp identity verification, verfyid labcorp com, labcorp patient verification, labcorp verification

Form Preview Example

Identity Verification for Online Result Delivery

You must complete the requested information below.

Requests will be processed within 3 business days.

A copy of a Driver’s License or other Government Issued Photo ID must accompany this

document.

E-mail document and copy of ID to: VerifyID@LabCorp.com OR Fax to: 877-259-1386

OR Mailing address: LabCorp Corporate Contact Center Mail Stop #30

3060 South Church Street Burlington, NC 27215

Patient Name:

 

Date of Birth:

 

 

 

Daytime

 

 

 

 

 

 

Phone:

 

 

 

 

 

 

 

 

Email Address:

 

 

 

 

 

 

 

 

 

 

For dependent individuals:

 

 

 

 

 

 

 

 

 

 

 

Caregiver (Primary Registered User)

 

 

 

 

 

Name:

 

 

 

 

Note: Lab test results will not be forwarded to the online account if the information provided is illegible.

Patient/Caregiver

 

Date:

Signature:

 

 

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example of blanks in verifyid labcorp com

Make sure you type in the necessary data in the Date field.

Filling out verifyid labcorp com step 2

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