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Tumor Profiling Requisition Fax completed requisition with a copy of the pathology report, 90Day clinical history and insurance information to (866) 4794925. TREATING PHYSICIAN INFORMATION PATIENTINFORMATION
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How to fill out tumor profiling requisition

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How to fill out tumor profiling requisition:

01
Start by providing your personal information such as your full name, date of birth, contact information, and any relevant medical identification numbers. This ensures that the results can be accurately linked to your specific case.
02
Next, specify the type of tumor or cancer that you are seeking profiling for. This includes providing details on the primary tumor site and any known metastases. This information helps the laboratory experts in tailoring the analysis to your specific condition.
03
Indicate the reason for requesting the tumor profiling. This could be for initial diagnosis, treatment selection, monitoring response to therapy, or other research purposes. Specify your goals so that the laboratory can prioritize and report findings accordingly.
04
Provide information about any previous treatments you have undergone, including surgeries, radiation therapy, chemotherapy, targeted therapy, or immunotherapy. This information helps the laboratory understand your previous treatment history and potential impact on the tumor profile.
05
Include relevant medical history, such as any known genetic predispositions or family history of cancer. This helps the laboratory in identifying potential inherited genetic alterations that may contribute to your condition.
06
Specify any additional tests or specific requirements you may have for the tumor profiling. For example, if you have a known mutation or alteration that you specifically want to be targeted, mention it here.

Who needs tumor profiling requisition?

01
Individuals with a suspected or confirmed cancer diagnosis who want to obtain a comprehensive understanding of their tumor's genetic makeup may require a tumor profiling requisition.
02
Patients who have undergone previous treatments and need to explore further treatment options or assess potential genetic changes may benefit from tumor profiling.
03
Researchers and scientists studying cancer genetics and exploring new treatment strategies may also request tumor profiling requisition to gather data and contribute to the advancement of medical knowledge.
It is important to consult with your healthcare provider to determine if tumor profiling is appropriate for your specific case and to understand the potential benefits and limitations of this analysis.
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Tumor profiling requisition is a request for detailed genetic analysis of a tumor sample to identify specific mutations and characteristics.
Medical professionals such as oncologists or pathologists are required to file tumor profiling requisition.
Tumor profiling requisition can be filled out by providing patient information, specimen details, and specific testing requirements.
The purpose of tumor profiling requisition is to aid in personalized treatment plans for cancer patients based on the genetic makeup of their tumor.
Information such as patient demographics, sample collection date, tumor type, and test requirements must be reported on tumor profiling requisition.
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