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Discuss Lab/Test Result

CONFIDENTIAL MEDICAL COMMUNICATION
Discuss Lab/Test Result should only be used to send your doctor a message about lab or other test results. Our goal is to respond to all requests within two (2) business days.

Please DO NOT USE this form for urgent messages or an emergency. IN AN EMERGENCY, CALL 911 OR GO TO THE NEAREST EMERGENCY ROOM. If you have new symptoms or an urgent question or concern, please call our office.

Please complete all required fields

Patient First Name: *

Patient Last Name: *

Patient Address: *

Patient E-mail Address:

Patient Date of Birth: *

Daytime Phone:*
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Alternate Phone:
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Department:*

Physician:*

If you are looking for lab or other test results, be sure to include the following:

Test Lab Name: *

Test Lab Location: *

Ordering Physician:

Date test was performed:

Type of test *(be specific, don't write x-ray, instead write chest x-ray or cat scan of the chest, etc.):


Additional Comments:(Up to 800 characters)
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Important Note:

The Stony Brook University Physicians website is primarily an informational and educational resource. It should not be used in place of medical advice and recommendations you receive from your health care provider. If you have, or suspect that you have a medical problem or condition, please seek the advice of your health care provider.


Stony Brook University Physicians provides marketing advice and consultation to the Stony Brook University Faculty. It does not provide medical care directly or indirectly nor does it oversee, direct, manage or supervise the medical care provided by any of the individual Practices. The individual Practices are responsible for the medical care each Practice provides to its patients. Please note that the Practices listed below are separate University Faculty Practice Corporations (UFPCs).