Form IOCI15-752 Request for Access to Laboratory Test Results - Illinois

Form IOCI15-752 Request for Access to Laboratory Test Results - Illinois

What Is Form IOCI15-752?

This is a legal form that was released by the Illinois Department of Public Health - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is IOCI15-752?
A: IOCI15-752 is a form used in Illinois to request access to laboratory test results.

Q: Who can use form IOCI15-752?
A: Any individual in Illinois who wishes to request access to their laboratory test results can use this form.

Q: What information is needed on form IOCI15-752?
A: The form requires the individual's personal information, such as name, address, and date of birth. It also requires information about the laboratory test(s) being requested.

Q: Is there a fee for requesting laboratory test results using form IOCI15-752?
A: There may be a fee associated with the request. The exact fee amount will vary depending on the laboratory and the specific test(s) being requested.

Q: How long does it take to receive laboratory test results after submitting form IOCI15-752?
A: The timeline for receiving laboratory test results may vary depending on the laboratory and the specific test(s) being requested. It is best to contact the laboratory directly for an estimated timeline.

Q: What should I do if there is an error on form IOCI15-752?
A: If there is an error on form IOCI15-752, you should contact the Illinois Department of Public Health or the healthcare provider to ensure the necessary corrections are made.

Q: Can someone else request laboratory test results on my behalf using form IOCI15-752?
A: In certain circumstances, someone else may be able to request laboratory test results on your behalf. This typically requires written authorization or power of attorney.

Q: What can I do if my request for laboratory test results is denied using form IOCI15-752?
A: If your request for laboratory test results is denied, you can inquire with the Illinois Department of Public Health or consult legal resources for further guidance on the appeals process.

Q: Is form IOCI15-752 specific to Illinois?
A: Yes, form IOCI15-752 is specific to Illinois and is not applicable in other states.

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Form Details:

  • Released on February 1, 2015;
  • The latest edition provided by the Illinois Department of Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form IOCI15-752 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.

Download Form IOCI15-752 Request for Access to Laboratory Test Results - Illinois

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  • Form IOCI15-752 Request for Access to Laboratory Test Results - Illinois, Page 1
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