{"id":2944,"date":"2024-04-29T16:39:48","date_gmt":"2024-04-29T04:39:48","guid":{"rendered":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/?page_id=2944"},"modified":"2026-09-11T14:40:49","modified_gmt":"2026-09-11T02:40:49","slug":"new-referrers","status":"publish","type":"page","link":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/new-referrers\/","title":{"rendered":"New Requestors"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Setting up a new clinician or adding them for eOrder access<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are a clinician who is new to requesting laboratory tests with Awanui, or are working at a new facility, or you are setting up a new clinician at your practice, please complete the <strong>New Requestor form<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Note:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Clinicians need a separate set up for <strong>each location they work from<\/strong>. Whether this is a full set up with lab code and eOrder access or just access to eOrders from that facility, a new requestor form must be submitted for each workplace. This ensures laboratory results are sent to the correct facility.<\/li>\n\n\n\n<li>A lab code is required if the clinician will be the <strong>responsible clinician<\/strong> requesting and receiving the test result. Please select the <strong>New Requestor Code<\/strong> tick box below. eOrder access will also be added to the code if the facility uses eOrders.<\/li>\n\n\n\n<li>If the person requesting tests is doing so <strong>on behalf of another clinician<\/strong> and will not receive the results themselves, they only need <strong>access to<\/strong> <strong>eOrders<\/strong> and do not require their own lab code. Please select the <strong>Access to eOrders only<\/strong> tick box below.<\/li>\n\n\n\n<li>Once the form has been submitted, a member of our team will confirm when the setup is complete.<\/li>\n<\/ul>\n\n\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_9' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">New Requestor form<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_9'  action='\/south\/otagosouthland\/wp-json\/wp\/v2\/pages\/2944' data-formid='9' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_9' class='gform_fields top_label form_sublabel_above description_above validation_above'><div id=\"field_9_22\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_22'><span class='gform-field-label__text'>Please select the region your practice is located in:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_22' id='input_9_22' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Auckland' >Auckland<\/option><option value='Christchurch \/ Canterbury' >Christchurch \/ Canterbury<\/option><option value='Hawke&#039;s Bay' >Hawke&#039;s Bay<\/option><option value='Marlborough' >Marlborough<\/option><option value='Nelson' >Nelson<\/option><option value='Northland' >Northland<\/option><option value='Otago' >Otago<\/option><option value='Southland' >Southland<\/option><option value='Taranaki' >Taranaki<\/option><option value='Timaru \/ South Canterbury' >Timaru \/ South Canterbury<\/option><option value='Wellington' >Wellington<\/option><\/select><\/div><\/div><div id=\"field_9_39\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_39'><span class='gform-field-label__text'>Are you hospital-based or in a medical centre?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_39' id='input_9_39' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Hospital-based' >Hospital-based<\/option><option value='Medical Centre' >Medical Centre<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_9_40\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_40'><span class='gform-field-label__text'>Which hospital are you in?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_40' id='input_9_40' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Select from below options' >Select from below options<\/option><option value='Wellington' >Wellington<\/option><option value='Hutt' >Hutt<\/option><option value='Wairarapa' >Wairarapa<\/option><\/select><\/div><\/div><div id=\"field_9_42\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_42'><span class='gform-field-label__text'>Department \/ Specialty<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_9_42' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_1\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Requestor Type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_1'>\n\t\t\t<div class='gchoice gchoice_9_1_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='New Requestor code (clinician \/ smear taker \/ other who will be receiving results)'  id='choice_9_1_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_1_0' id='label_9_1_0' class='gform-field-label gform-field-label--type-inline'>New Requestor code (clinician \/ smear taker \/ other who will be receiving results)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_1_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Access to eOrders only (requesting on behalf of a clinician but not responsible for receiving the result)'  id='choice_9_1_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_1_1' id='label_9_1_1' class='gform-field-label gform-field-label--type-inline'>Access to eOrders only (requesting on behalf of a clinician but not responsible for receiving the result)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_1_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Deactivate \/ remove clinician from a practice'  id='choice_9_1_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_1_2' id='label_9_1_2' class='gform-field-label gform-field-label--type-inline'>Deactivate \/ remove clinician from a practice<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_9_4\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Requestor Prefix \/ Job Title<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name has_prefix no_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_9_4'>\n                            <span id='input_9_4_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_9_4_2' class='gform-field-label gform-field-label--type-sub '>Prefix<\/label>\n                                                    <select name='input_4.2' id='input_9_4_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Dr.' >Dr.<\/option><option value='Nurse' >Nurse<\/option><option value='Midwife' >Midwife<\/option><option value='Nurse practitioner' >Nurse practitioner<\/option><option value='Cervical screener \/ Smear taker' >Cervical screener \/ Smear taker<\/option><option value='Mr' >Mr<\/option><option value='Mrs' >Mrs<\/option><option value='Ms' >Ms<\/option><option value='Other' selected='selected'>Other<\/option>\n                      <\/select>\n                                                  <\/span>\n                            \n                            \n                            \n                            \n                        <\/div><\/fieldset><fieldset id=\"field_9_26\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Requestor Prefix \/ Job Title<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name has_prefix no_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_9_26'>\n                            <span id='input_9_26_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_9_26_2' class='gform-field-label gform-field-label--type-sub '>Prefix<\/label>\n                                                    <select name='input_26.2' id='input_9_26_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Nurse' >Nurse<\/option><option value='Mr' >Mr<\/option><option value='Mrs' >Mrs<\/option><option value='Ms' >Ms<\/option><option value='Other' selected='selected'>Other<\/option>\n                      <\/select>\n                                                  <\/span>\n                            \n                            \n                            \n                            \n                        <\/div><\/fieldset><div id=\"field_9_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_33'><span class='gform-field-label__text'>Requestor full name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_9_33' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_12'><span class='gform-field-label__text'>NZMC Number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_9_12' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_13'><span class='gform-field-label__text'>HPI\/CPN Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_9_13' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_7'><span class='gform-field-label__text'>Facility\/Practice Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_9_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_14'><span class='gform-field-label__text'>HPI facility Number (if applicable)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_9_14' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_8\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Facility\/Practice (physical) address<\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_9_8' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_9_8_1_container' >\n                                        <label for='input_9_8_1' id='input_9_8_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_8.1' id='input_9_8_1' value=''    aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_9_8_2_container' >\n                                        <label for='input_9_8_2' id='input_9_8_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_8.2' id='input_9_8_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_9_8_3_container' >\n                                    <label for='input_9_8_3' id='input_9_8_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_8.3' id='input_9_8_3' value=''    aria-required='false'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_8.4' id='input_9_8_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_9_8_5_container' >\n                                    <label for='input_9_8_5' id='input_9_8_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_8.5' id='input_9_8_5' value=''    aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_8.6' id='input_9_8_6' value='NZ' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_9_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_27'><span class='gform-field-label__text'>Practice Manager \/ Main contact name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_9_27' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_29'><span class='gform-field-label__text'>DHB region<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_9_29' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Auckland: Central (T\u0101maki-Makaurau)' >Auckland: Central (T\u0101maki-Makaurau)<\/option><option value='Auckland: North (Waitemata District)' >Auckland: North (Waitemata District)<\/option><option value='Auckland: South (Counties Manukau District)' >Auckland: South (Counties Manukau District)<\/option><option value='Auckland: West (Waitemata District)' >Auckland: West (Waitemata District)<\/option><\/select><\/div><\/div><div id=\"field_9_9\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_9'><span class='gform-field-label__text'>Practice Phone Number<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_9_9' type='tel' value='' class='small'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_9_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_32'><span class='gform-field-label__text'>Practice \/ Service Manager \/ Main contact email address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_9_32' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_10\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_10'><span class='gform-field-label__text'>Practice after-hours number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_10' id='input_9_10' type='tel' value='' class='small'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_9_43\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_43'><span class='gform-field-label__text'>Mobile number (if no after-hours available)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_43' id='input_9_43' type='tel' value='' class='small'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_9_36\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_36'><span class='gform-field-label__text'>What Practice Management System (PMS) are you using?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_9_36' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_3'><span class='gform-field-label__text'>Existing referrer code of another practitioner at facility (if known)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_9_3' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_15\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Results Receiving Method<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_15'><div class='gchoice gchoice_9_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='HL7'  id='choice_9_15_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_15_1' id='label_9_15_1' class='gform-field-label gform-field-label--type-inline'>HL7<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='Email'  id='choice_9_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_15_2' id='label_9_15_2' class='gform-field-label gform-field-label--type-inline'>Email<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_35\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_35'><span class='gform-field-label__text'>Email (All results)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_35'>*Please note &#8211; A demo test result will be sent to this email address. Please respond to the email to complete email set-up.<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_35' id='input_9_35' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_9_35\" \/>\n                        <\/div><\/div><div id=\"field_9_25\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_25'><span class='gform-field-label__text'>Email (Urgent\/instant results)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_25'>*Please note &#8211; A demo test result will be sent to this email address. Please respond to the email to complete email set-up.<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_25' id='input_9_25' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_9_25\" \/>\n                        <\/div><\/div><div id=\"field_9_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_21'><span class='gform-field-label__text'>Please enter EDI<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_9_21' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_30'><span class='gform-field-label__text'>Courier pick up and drop off instructions<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_9_30' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_16\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_16'><span class='gform-field-label__text'>Any comments \/ further information<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_9_16' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_9_20\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_20'><span class='gform-field-label__text'>Confirmation (of set-up) to be sent to this email address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_20'>(recommend Practice Manager or Admin lead)<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_20' id='input_9_20' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_9_20\" \/>\n                        <\/div><\/div><fieldset id=\"field_9_31\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Please confirm<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_31'><div class='gchoice gchoice_9_31_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.1' type='checkbox'  value='I would like to receive email updates from Awanui Labs, including service announcements and education.*'  id='choice_9_31_1'   aria-describedby=\"gfield_description_9_31\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_9_31_1' id='label_9_31_1' class='gform-field-label gform-field-label--type-inline'>I would like to receive email updates from Awanui Labs, including service announcements and education.*<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_31_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.2' type='checkbox'  value='I confirm that all information contained in this form is correct'  id='choice_9_31_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_31_2' id='label_9_31_2' class='gform-field-label gform-field-label--type-inline'>I confirm that all information contained in this form is correct<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_9_31'>* You can unsubscribe at any time. Your information will be handled in accordance with the Awanui Privacy Statement.\n\nPrivacy Statement: Awanui Labs a division of Awanui Group collects this information to facilitate the sending of laboratory results and related health information. This information will be shared with other organisations within the health sector for clinical purposes only.<\/div><\/fieldset><div id=\"field_9_37\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_37'><span class='gform-field-label__text'>Email for updates<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_37' id='input_9_37' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_9_38\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_38'><span class='gform-field-label__text'>CAPTCHA<\/span><\/label><div id='input_9_38' class='ginput_container ginput_recaptcha' data-sitekey='6LfXOsknAAAAAN98m-W_9FjnE594MkyJ-M-A1QDf'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_9' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_9' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_9' id='gform_theme_9' value='gravity-theme' \/>\n            <input type='hidden' 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\/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_9' id='gform_target_page_number_9' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_9' id='gform_source_page_number_9' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"82\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n                        <\/div>","protected":false},"excerpt":{"rendered":"Setting up a new clinician or adding them for eOrder access If you are a clinician who is new to requesting laboratory tests with Awanui, or are working at a new facility, or you are setting up a new clinician at your practice, please complete the New Requestor form. Note:","protected":false},"author":18,"featured_media":0,"parent":47,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-left-sidebar.php","meta":{"footnotes":""},"class_list":["post-2944","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>New Requestors &#8212; Awanui Labs \u2013 Otago, Southland<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/new-referrers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"New Requestors &#8212; Awanui Labs \u2013 Otago, Southland\" \/>\n<meta property=\"og:description\" content=\"Setting up a new clinician or adding them for eOrder access If you are a clinician who is new to requesting laboratory tests with Awanui, or are working at a new facility, or you are setting up a new clinician at your practice, please complete the New Requestor form. 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