Account Request for Web-based Laboratory Reporting (WLR)

Instructions

Please answer the questions as fully as possible. Contact information (contact name, email, phone) is critical and must be accurate in order to complete the WLR Account activation. WSLH staff will contact you using this information to complete and verify your WLR account.

NOTE: Required fields are indicated by asterisk (*). This is a manual process and may take several days to complete. At that time you will receive an email with instructions on the next step in this process. Please watch for this email and make sure it does not end up in your SPAM folder.

Add/Delete/Change

Add/Delete/Change
Is this a request to Add a new WLR Account, to Delete an existing WLR account, or to Change an existing WLR account?

WLR User Information

WLR User Information
WSLH IT will contact the User to set up their account, what is the best time to call?

Laboratory Information

Laboratory Information

Verification

reCAPTCHA is required.
This step is to verify this form is being completed by a person and not a computer.