Forms
- Requisition Form: Call Customer Service to request—800-862-1013 or 608-224-4272
Fax Authorization Form: Complete and Fax this form to 844-390-6233 to authorize Fax reporting of WSLH results for your facility. Please contact the WSLH Customer Service group at 800-862-1013 for additional information.
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Supplies Order Form: For collection kits or other supplies complete and Fax this form to 844-390-6233.
Patient Travel History Form (Updated 08/23/2019)