Account Setup for International Providers

The information you provide on this form will be used to create the LabCorp account under which testing services for the Sanofi Genzyme Specialty Rare Disease Testing Program will be placed and results delivered. You have a right to access, rectify or have your personal data deleted and you have the right to withdraw your consent at any time. In order to exercise this right, or if you have any questions, please contact our Privacy Officer by e-mail at [email protected]. LabCorp’s privacy policy can be found by visiting: https://www.labcorp.com/hipaa-privacy