Complete if your organization participates in an Accountable Care Organization (ACO) or a Clinically Integrated Network (CIN): Access the pdf here

Complete to share a courtesy copy of your LabCorp results with the WVHIN : Access the pdf here

Complete for access to the WV Controlled Substance Monitoring Program (CSMP) and NarxCare (requires NPI and DEA number): Access the pdf here

Contact the WVHIN if you are a 42 C.F.R. Part 2 provider