eHealth_hub Delivery Exception Report

Complete this form to report issues on eHealth_hub delivery from Cadham and/or Shared Health Lab or DI.

"*" indicates required fields

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Clinic name*

Reported by*

Phone #*

Email address*

Delivery issue*

Reports received by paper/fax but not via eHealth_hub

Reports received in error via eHealth_hub (not ordered by the clinic or clinic providers)

Report details

Source Name

Lab Order, Procedure ID, or Accession Number

Collected date

Reported date

Ordering provider

Additional details