Medical Report Request

Draft

Workflow Progress

Request ID: MR-2024-001
Agent Request
Operations Review
Payment
+3
More

Disclaimer: Mockup Preview

This is a prototype demonstration of the IConnect Medical Report Request workflow. The UI and functionality shown here are for showing the workflow only and may differ in the final production version.

Insurance Agent View

Medical Report Request Details
Enter patient details, report preferences, and delivery method for this new request.

Pre-filled from your profile. You can edit these for this request without updating your profile.

Specify the relevant date for the requested medical report.

For insurance purposes

Detailed written report

Specify investigation details

If you select Pickup or Delivery, the medical report will still be available to download from iConnect.

Collect from hospital

Deliver to address

From iConnect