Lab Program Assessment

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Company website

Contact Information

First Name* (required)

Last Name* (required)

Company Name* (required)

Job Title/Role* (required)

Email* (required)

Example: example@example.com

Phone Number* (required)

Example: (503) 555-0123

Priority Testing Questions

What process are you using for quantitative urinalysis (QUA) testing?* (required)

We have our in-house certified lab (CLIA/COLA)We do in-office point-of-care testing (waived dipsticks)Sending to Reference LabNot currently using

What process are you using for PCR cUTI or rUTI testing?* (required)

We have our in-house certified lab (CLIA/COLA)Sending to Reference LabNot currently using

What process are you using for routine UTI (traditional cultures)?* (required)

We have our in-house certified lab (CLIA/COLA)We do in-office point-of-care testing (waived tests)Sending to Reference LabNot currently usingOther

What process are you using to test for csPCa risk with an elevated PSA and prior to biopsy?* (required)

Blood biomarker testing (IsoPSA, 4kScore, MDxHealth)Urine biomarker testing (ExoDx)MRI in conjunction with biomarker testingI don't do any biomarker testingMRI onlyOther

Additional Testing Questions

What process are you using for PCR STI testing?* (required)

We have our in-house certified lab (CLIA/COLA)Sending to Reference LabNot currently using

What process are you using for PCR Vaginitis testing?* (required)

We have our in-house certified lab (CLIA/COLA)Sending to Reference LabNot currently using

What process are you using for PGx testing?* (required)

We have our in-house certified lab (CLIA/COLA)Sending to Reference LabNot currently using

What process are you using for FISH testing?* (required)

We have our in-house certified lab (CLIA/COLA)Sending to Reference LabNot currently using

What process are you using for RPP testing?* (required)

We have our in-house certified lab (CLIA/COLA)We do in-office point-of-care testing (waived tests)Sending to Reference LabNot currently using

What process are you using for PCR GI testing?* (required)

We have our in-house certified lab (CLIA/COLA)Sending to Reference LabNot currently using

Practice Details

How many patients does your practice see each month?* (required)

0-100101-300301-500501-10001000+

What percentage of those patients have Medicare for their primary coverage?* (required)

0-20%21-40%41-60%61-80%81-100%

How many physicians are in your practice?* (required)

How many midlevels are in your practice?* (required)

How many locations does your practice have?* (required)

Does your practice have a central in-house laboratory for all locations?* (required)

YesNo

Have you ever explored implementing an In-office Laboratory?* (required)

YesNo

If YES, what factors would be most important to you when evaluating an in-house lab solution?

0 / 2,000 characters

If NO, what has prevented you from considering an in-office lab?

0 / 2,000 characters

What is your practice's current CLIA certification level?* (required)

High ComplexityModerate ComplexityWaived OnlyNo CLIA certification yet

What is your primary goal for laboratory services?* (required)

Improving practice workflow and organizationIncreasing operational efficiencyEnhancing patient care and outcomesBringing more testing in-houseReducing costsFaster turnaround timesOther

Follow-up

Would you like to schedule a consultation with a Doc Lab specialist?* (required)

Yes, as soon as possibleYes, within the next weekYes, but laterNot at this time

How did you hear about Doc Lab?

Google SearchSocial Media (Facebook, Instagram, LinkedIn)Current RepresentativeIndustry Event/ConferenceColleague ReferralOnline Review/TestimonialOther

Who were you referred by?

Please share any specific needs or questions about laboratory services:

Please don't include any patient information.

0 / 2,000 characters

I agree to Doc Lab contacting me about my assessment. Privacy Policy (required)

Is In-House Testing Right for Your Practice?

Contact Information

Priority Testing Questions

Additional Testing Questions

Practice Details

Follow-up