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 Request For Web Outreach Access 
If you're a physician that needs access or to grant access for your office staff, you'll need to submit a Web Outreach Access Form. The Web Outreach Access Form will allow you to submit your request for access for your self and your staff. For each person on the form, they must fill out and sign a Confidentiality Agreement. You can download the forms above in either a Word or PDF format.

How To Submit the Request 
Fax your completed forms with cover sheet to 843-468-5018 or email them to You will get a call in two to three business days later to schedule a time for your Web Outreach Access Introduction Session. If you have any question you can call David Lawson at 843-664-4314 x220 for support.
What's Next?  
After your request has been received, verified and account(s) created, Pee Dee Pathology will contact your office to verify your access works and walk you through your first sign in to the Web Outreach.

Last Updated (Wednesday, 14 July 2010 09:57)


Click to download MS Word Format

Click to download PDF Format

Last Updated (Wednesday, 14 July 2010 09:58)