Labcorp Identity Verification Form PDF Details

You must complete the requested information below and attach a copy of a Government Issued Photo ID.

Patient: Patient Name, Date of Birth and Daytime Phone are the three lines for the patient.

Dependents: For Dependent Individuals: Caregiver (Primary Registered User) Name and Email Address.

ID: A copy of a Driver's License or other Government Issued Photo ID must accompany the form.

By mail: Mail it to ATTN: Customer Contact Center, 212 Cherry Lane, New Castle DE 19720.

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

Question	Answer
Form Name	Labcorp Identity Verification Form
Form Length	1 page
Fillable?	Yes
Fillable fields	6
Avg. time to fill out	1 min
Edition	25831-0221
Matches the agency's file	Yes, checked November 3, 2026
Other names	VerifyID@Labcorp.com, Labcorp identity verification form, Labcorp verify identity, Labcorp Verification
Official source	Identity Verification for Online Result Delivery (25831-0221)

How to Fill Out Identity Verification for Online Result Delivery

Identity Verification for Online Result Delivery at a glance

What it is: Labcorp Patient form: Identity Verification for Online Result Delivery.

Where and when to file: You must complete the requested information. Requests will be processed within three (3) business days.

A filled-in Identity Verification for Online Result Delivery example: a patient verifies identity

Identity Verification for Online Result Delivery example filled out, example: a patient verifies identity — Jordan Sample fills out the Labcorp identity verification form. Jordan is not a dependent, so For Dependent Individuals stays empty. The picture shows page 1, and its names and figures are sample values.

How to fill out Identity Verification for Online Result Delivery, box by box

Patient Name, Date of Birth and Daytime Phone

Fill in Patient Name, Date of Birth and Daytime Phone.

For Dependent Individuals

For Dependent Individuals, fill in the Caregiver (Primary Registered User) Name and Email Address.

More rules for Identity Verification for Online Result Delivery

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

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

Common questions about Identity Verification for Online Result Delivery

Where do I file it?

E-mail the document and a copy of ID to VerifyID@Labcorp.com or fax to 877-259-1386, or mail to ATTN: Customer Contact Center 212 Cherry Lane New Castle DE 19720.

Sources

[1] Identity Verification for Online Result Delivery (25831-0221), Labcorp Patient (the Official source link on this page).

Labcorp Identity Verification for Online Result Delivery