Patient Portal Contact

In order to assist, please provide the following information:
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Name

Address

City

State

ZIP/Postal Code

Country

Phone

Email

Date of Birth

Date of Service

Reason for contact

Patient Center Service Address

I would like to receive my preliminary results.

Yes

No

Preliminary results are applicable when one or more test ordered have not been completed and resulted.

* By selecting Yes, you approve receiving the preliminary results via email.

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Please be aware that submission of this form is not a secure method of communication. Do not include personal information such as user names, passwords, social security numbers, and private health information. Information collected using these forms is stored on a third party server and then downloaded to Labcorp Customer Service. By providing your contact information, you may be contacted by a member of the Labcorp Customer Service team regarding your feedback. Your input is important to us and we appreciate your time.