Online Portal Access Confirmation/Sign up In order to better serve you, we are pleased to partner with Sharefile to provide access to online results using Sharefile’s HIPAA compliant server system. You may continue to receive reports via fax, or you can opt in to the online portal by reviewing the stipulations below and signing the disclosure: The Bedford Research Foundation PVSA lab is furnishing this information to you via a Sharefile HIPAA compliant server with additional security features. While every effort is made to keep patient data secure, by signing up for this service you acknowledge that information stored on this server is accessible via third party, and agree to hold the PVSA laboratory harmless in case of any data loss or breach that may occur. Clinic portal access is available at pvsa.sharefile.com or by clicking the Provider Portal button on the PVSA.org website. If you have questions about the portal please call or email customer support at firstname.lastname@example.org or 617-623-7447. If signing up multiple providers, a new form should be submitted for each provider. Please refresh the form after submission, or click the “Submit and Enter New Provider” button at the bottom of the form. Your PVSA Customer Service Team Permission Agreement* Agree I have read and understand the above statements and give my permission to set up the online portal using the email addresses on the following page.Doctor/Provider Name* First Last Title Practice Name*If single provider office, write “self”Account #1 for this ProviderName* First Last Email This will be the account's usernameAccount #2 for this Provider (optional)Name First Last Email This will be the account's usernameAccount #3 for this Provider (optional)Name First Last Email This will be the account's usernameOnce sign up is complete, you will receive email from sharefile to complete set up and assign yourself a password. Results will be available from the date of sign up.