Instructions for Submitting Requests


ATTENTION 3RD PARTIES: The Options below are for patients only. If you are NOT a patient, please click here.

Welcome! Please read below

What You Need to Get Started

  1. The patient's valid driver's license or other valid state-issued ID.
  2. A credit card to make payment
  3. If you have the legal authority to make healthcare decisions for a patient as a healthcare trustee/conservator, healthcare proxy, or medical/healthcare power of attorney, you must upload three items: (a) the patient’s driver’s license/ID, (b) YOUR OWN Driver’s License/ID, AND (c) official documentation of your authority to make healthcare decisions for the patient. NOTE: A financial power of attorney is not acceptable. If you cannot provide ALL required items, the patient must place his or her own request.

Please have these items handy before you start!


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