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Learn more about the onboarding process.
Required fields are marked with an asterisk (*).
The administrator is responsible for making sure that appropriate staff members get access to SimpleReport.
If you have only one testing facility, then your organization name and facility name will be the same.
We’ll report your data to the public health department using the name entered here. This name can’t be changed, so double-check that you’ve entered it correctly.
If your organization has multiple testing facilities, submit a separate form for each one.
This is the point of contact for the public health department, if they need to reach out. Some states (but not all) require information about your ordering provider.
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