Provider Service Agreement COVID-19

I accept responsibility for the ordering of COVID-19 testing from my office to be sent to Gene-IQ’s Lab. I will still provide a Requisition with each sample, which should be deemed as my written request to perform the specified test. I acknowledge that my PSA information will be saved in Gene-IQ’s Lab system for future possible testing requests, and that I will contact Gene-IQ if I would like to end this electronic authorization agreement.

Physical Location

Once the information on your PSA has been verified, you will receive an email with an authorization code and a direct link to Gene-IQ’s ordering page for COVID-19 testing.