For Procedures and Laboratory Test
Online LOA Approval Form for Prescribed Procedures and Laboratory Tests
This form must be accomplished for the processing of your Letter of Authorization for prescribed procedures and laboratory tests.
REMINDERS:
- Please be reminded that processed Letters of Authorization must be used within three (3) days from approval.
- Please allow us at least 24 hours to process your request once submitted.
- Requests submitted beyond operating hours (6am – 6pm) will be processed on the next business day.
