Lab Access Request Form Registration Form Services: Copia (Long Term Care) Pathway Reporting (ESRD) Webstation (ESRD) First Name: Last Name: Email: Submissions without a valid COMPANY email address will not be accepted. Facility Name(s): Phone Number: Preferred Username: Preferred Password: Long term care users must create individual accounts for each unique facility that you have access to. Multiple facilities under the same account are NOT allowed per HIPAA compliance regulations. Close
