Welcome to the UNMC Regional Pathology Services Patient Registration Portal

Complete this form prior to your arrival.

Please bring a form of government issued I.D. that has your name and birthday to verify your identity.

Enter the name of the company that you work.
Your legal first name (not "nickname")
Legal Last Name
First 5 digits only
Must include area code
Must include area code Please type your email again to confirm

Consent to Treat
I voluntarily request a health care provider or their designees as deemed necessary, to perform testing for COVID-19. I understand that if additional testing is recommended, I be will allowed to opt out prior to collection. By clicking "Yes" below you agree to share your contact information and assessment responses with the State of Nebraska. Further, in the event there is a test conducted, the patient's name, test result and other information will be reported to the Nebraska Department of Health and Human Services, Division of Public Health as a reportable disease under Neb. Rev. Stat. ยง 71-503.01.
Electronic Results
I request and consent to receive my results via encrypted email.
UNMC Status
I am a UNMC student, faculty, or staff member. Bring UNMC badge to your appointment.
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