If the patient is paying out of pocket,
we require a personal check, cashier's check
or money order (made out to Johns Hopkins University) or credit card
information. We
are unable to directly bill patients for services.
All
self-pay patients must complete the
Billing Consent Form.
If paying by credit card, the
Credit Card Authorization form
must be completed and submitted with the sample or faxed to the lab.
We will not be able to initiate testing until this completed forms are
received.
If
requested, we will mail the patient a receipt that may be submitted to the insurer to request
reimbursement. Please
indicate this request on the requisition form and provide
the patient's complete mailing address.