Patient Registration

Roxby Labs

Patient Demographics

    

Add Dependents?
      
Note: By adding dependents, you as the primary patient are consenting to allow orders to be created and testing performed for dependents.

If yes, you will be able to add your dependents on a separate page before completing registration. If you choose not to add dependents now during the registration process, you can do so within the Patient Portal after confirming your email and logging in.

Upload Documents?
      

If yes, you will be able to upload, take pictures of, or scan documents for you and/or your dependents on a separate page before completing registration. If you choose not to upload documents now during the registration process, you can do so within the Patient Portal after confirming your email and logging in.

Login Information

Note: In order to log in to the Patient Portal & receive notifications about test results, you will need to provide a valid email address. After registration is finished, you will be sent a confirmation email.


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