For requisitions, please contact your Customer Services or Account Manager, or complete a supply order form.
| ORDERS and RESULTS |
SUPPLIES |
Additional / Add-On Test Request
Blood Bank Specimen Form
Cancel Testing Form
ABN (Advanced Beneficiary Notice)
EpicCare Link
Corrected Report – Gen Lab
Corrected Report – Pathology
Medical Records
MyChart
For requisitions please contact client services or fill out a supply form (see “Supplies”). |
WEST MICHIGAN (ATL, Big Rapids, Blodgett, Butterworth, Gerber, Grand Rapids, Greenville, HDVCH, Ludington, Reed City, Pennock, Zeeland)
Independent Outreach Client Supply Order Form
CH/CHMG/Internal Corewell Health West Supply Order Form (X24639) | Workday Crosswalk
SOUTHWEST MICHIGAN (Niles, St. Joseph, Watervliet)
Inventory Stocked by CS
Internal Supply Order Form
Outpatient Draw Sites Supply Order Form
Outpatient Supply Order Form
|
| BILLING |
OFFICE or PROVIDER UPDATES |
ABN (Advanced Beneficiary Notice)
Adjustment or Credit for Patient Billing
Coding Quality Information
Update Diagnosis Code Instructions |
Corewell Health West NEW Lab Client Request
Office Moving or Discontinuing Services Update
Provider Updates
Fax Discontinuation Form |
Updated 10/17/2025
