Get the free 07 Attestationforcysticfibrosistesting.doc - amc

Rev. 10/10 ALBANY MEDICAL CENTER SPECIAL CHEMISTRY LABORATORY Phone: 5182623519 FAX: 5182628257 ATTESTATION FOR GENETIC TESTING Patient Name: For AMC Lab Use Only MR #: Account# Physician: Date of

How to fill out 07 attestationforcysticfibrosistestingdoc - amc

How to fill out 07 attestationforcysticfibrosistestingdoc - amc:

1. Start by entering your personal information, such as your name, date of birth, and contact details, in the designated fields.
2. Next, provide information about the healthcare provider or institution performing the cystic fibrosis testing. Include their name, address, and contact information.
3. Indicate the date of the testing and whether it was performed as part of a routine screening or due to specific symptoms or concerns.
4. Specify the type of cystic fibrosis testing conducted, whether it was genetic testing or another form of diagnostic testing.
5. If genetic testing was performed, provide details about the specific genetic mutations or variants tested for and the method or technology used for the testing.
6. Describe the results of the cystic fibrosis testing. State whether the tested individual has been identified as a carrier of cystic fibrosis or if a diagnosis of cystic fibrosis has been confirmed.
7. Include any additional relevant information or comments regarding the testing process or results.
8. Finally, sign and date the attestation to certify the accuracy of the provided information.

Who needs 07 attestationforcysticfibrosistestingdoc - amc?

The 07 attestationforcysticfibrosistestingdoc - amc is typically required for individuals who have undergone cystic fibrosis testing. These can include individuals who are undergoing routine screening for cystic fibrosis, individuals with known symptoms or risk factors for cystic fibrosis, or individuals who are considering the possibility of becoming a parent and are interested in cystic fibrosis carrier testing. This attestation document serves as a record of the testing process and can be used for medical and legal purposes.

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