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Click ‘Get Form’ to open the LINCOLN DIAGNOSTICS LLC document in the editor.
Begin by filling out the CLIENT INFORMATION section. Enter the patient's Last Name, First Name, Date of Birth, and Gender. Ensure all required fields are completed accurately.
Next, provide the Date Specimen Collected and the patient's Street Address, Apt. #, City, State, Social Security #, and Telephone #.
In the BILLING INFORMATION section, attach a copy of the insurance card or fill in the necessary details. If self-pay is applicable, check the box and attach the acknowledgment form.
Complete the TISSUE PATHOLOGY section by checking all relevant options such as SKIN BIOPSY or BREAST BIOPSY. Indicate specimen sites and procedures as needed.
Finally, ensure that a Physician’s Signature is included if required for your state. Review all entries for accuracy before submission.

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What is the history of Lincoln diagnostics?

Founded by Gary L. Hein in 1982, Lincoln Diagnostics quickly became the premier provider of allergy skin testing products in the United States. Prior to founding Lincoln Diagnostics, Gary was President and CEO of Lincoln Laboratories, until it was purchased by Institut Mrieux of France.

What is Lincoln Diagnostics known for?

Lincoln Diagnostics, manufacturer of Multi-Test, Multi-Test II, Duotip-Test, Duotip-Test II, Multi-Test PC and UniTest PC, is the industry leader in high-quality disposable allergy skin test devices.