EMR Integration Request Form

CirrusDx offers bi-directional interfaces connecting EMRs to our laboratory. The system supports seamless test ordering, including home collection kit ordering and result reporting, reducing the need for manual input and eliminating transcription errors. We can connect to most EMRs on the market, timelines vary depending on the EMR.

Please fill out the form on this page to get started.

Main office contact

Name of practice

Which EMR does your practice currently use?

What is your practice's EMR account number?

How many practice locations do you have?

How many practice locations are being connected? (If more than one, please list them)

What is the total number of ordering providers?

Please list the ordering providers' names and NPI numbers for each practice, separating them by practice if possible.

Main clinical contact

Main IT contact

Which services do you wish to receive?

Do you require corporate approval for EMR connections?

Do you know how to place orders and review results inside your EMR?

Do you require training from your EMR vendor prior to Go Live?

EMR Integration Request Form

This form is intended for healthcare practices only.