Office Use Only: IBL staff, please complete the information below and submit completed form to OS2 for HCM upload.
IBL Staff Name: ________________________________________ Lab ID, if not provided on form: ___________________________
Date changes made in Horizon: ___________________________ Date uploaded to HCM: __________________________________
This is a secure web site. Data sent on this form will be encrypted and meets HIPAA guidelines/standards. The information will be used solely by Idaho Bureau of Laboratories (IBL) and only in relation to testing and resulting of samples submitted for analysis.