Copy of a lost requisition

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Copy of a lost requisition

  • Once your request below is completed, we will be happy to respond to your request within 15 business days if your doctor is not absent (on vacation, congress or other).

    The copy of a lost requisition is not a service covered by Medicare. Therefore, fees apply, based on the Federation of Physicians' fee scale.


    Please remember to check your ''spam'' or ''junk'' folder if you do not receive a response from us within 15 business days.  

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  • (You will receive a copy of your request via a highly secure email. You will need to enter the password you chose in order to access your file.)
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