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CUSTOMER SERVICE: Tel: 866-964-5182 Fax: 866-964-5184 Email: customer service macularisk.com Macular Risk? PBX Supply Reorder Form Name of Individual Ordering: Practice Name: Telephone Number: Order

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What is macula risk pgx supply?

Macula risk pgx supply is a program that focuses on providing genetic testing for individuals at risk for macular degeneration.

Who is required to file macula risk pgx supply?

The healthcare providers who offer the macula risk pgx testing are required to file the supply.

How to fill out macula risk pgx supply?

To fill out the macula risk pgx supply, healthcare providers need to provide the necessary information about the patients who undergo the testing, including demographic details and results of the genetic testing.

What is the purpose of macula risk pgx supply?

The purpose of macula risk pgx supply is to ensure that genetic testing for macular degeneration is conducted accurately and consistently, and to gather data for research purposes.

What information must be reported on macula risk pgx supply?

The macula risk pgx supply requires reporting of patient demographic information, genetic test results, and any relevant medical history.

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