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What is the estimated annual volume of laboratory testing that you are considering sending to OSF Saint Francis Medical Center?
Approximate number of specimens.
Who is your current reference laboratory?
Have you utilizied OSF laboratory services before?
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No
Yes
If yes, which OSF laboratory?
Are you within 20 miles of any OSF HealthCare Medical Center or facility?
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No
Yes
If yes, which OSF facility?
Do you currently have your own laboratory courier services?
No
Yes
Are you interested in electronic laboratory test ordering?
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No
Yes
Do you currently utilize an electronic ordering platform with your current reference laboratory?
No
Yes
What is your current version of Microsoft Windows?
What EMR software platform do you currently use?
Will you require an electronic order/result interface?
No
Yes
Your name:
*
Your title:
Office or facility name:
*
Email:
*
Phone:
*
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