Information about http://www.uslabs.net/filebin/pdf/US_LinX_User_Registration_Form.pdf
US LinXTM User Registration Form …
Tags: access authorization, acrobat reader version, adobe acrobat reader, adobe acrobat reader version 5, date sales, dsl or cable, internet explorer, laser printer, medical director, npi, optimal usage, patient results, physician name, position title, reporting system, sales rep, ssl encryption, suffix, upin, web connection,Pages: 1
Language: english
Created: Wed Oct 10 08:03:54 2007
Display cached document
Page 1
US LinXTM User Registration Form
(Fax completed form to Client Services at 949-450-0146)
Date: Sales Rep:
New US LinX Account
Current Customer (Specify changes)
Client Name:
Client Account Number: Phone:
Please provide User information for US LinX access
User Type:
Physician with UPIN or Physician (but I don't have an UPIN)
Not a Physician
Name (First, Middle, Last):
Suffix: Position/Title/Specialty:
Email:
UPIN (if applicable) NPI (if applicable)
Users Access Requirements
The internet reporting system allows the viewing and signing of patient results over a secure (128 bit encrypted) web
connection. This solution requires a login and password to view results, print results and to sign cases. For optimal usage
of this site, we recommend the following:
· Internet connection (min. DSL or Cable) with the ability to access sites with SSL encryption
· Internet Explorer version 5.0 (6.0 Recommended)
· Adobe Acrobat Reader version 5.0 or higher (7.0 Recommended)
· Access to a color deskjet or laser printer (Recommended)
User Access Authorization (i.e. Medical Director or Designated Personnel)
Print Name
Authorized Signature for US LinX User Access