Interpace Physician Portal

New Account Registration

Please complete the form below to request access to the Interpace Diagnostics Physician Portal. The Portal provides access to patient test reports.

If you are looking to modify a current account, please complete the change request form.

Account Type
Institution Access: Provides access to a group of delegates for an institution. Authorized Delegates are individuals authorized by the Laboratory Director or Medical Director to access all test reports or test requisitions associated with the submitting institution, such as group practice partners and staff who are permitted to access and use Protected health information (PHI) under federal law (HIPAA)

Physician Access: Provides limited access to one physician's patient results only
Registration Requested by:
Primary Contact
Institution Information
Physician Information
Location #2
Location #3
Institutional accounts require an authorizing director. Please select below.
Delegate #1
Delegate #2
Delegate #3
Delegate #4
Delegate #5
If additional delegates are needed, please contact Client Services after your account is created.
Finalize Request

Click the "Submit Request" button below to complete the request.