Get the free GI Cancer Test Requisition Form (TRF) - Ambry Genetics

How to fill out gi cancer test requisition

How to fill out a GI cancer test requisition:

1. Start by providing your personal information: Fill out your full name, date of birth, gender, and contact details such as phone number and address.
2. Next, provide your medical history: Indicate any relevant past or current medical conditions, surgeries, or treatments that you have undergone. This information helps the healthcare professionals understand your medical background better.
3. Specify the reason for requesting a GI cancer test: Clearly state the symptoms or concerns that led you to seek this test. This information assists the healthcare team in evaluating the necessity and urgency of the test.
4. Include your primary care physician's details: Provide the name, contact information, and any other relevant details of your primary care physician or referring doctor. This allows the healthcare professionals to communicate the test results to the appropriate medical personnel.
5. Select the specific GI cancer test(s) needed: Depending on your symptoms and medical history, different tests may be necessary to assess for GI cancer. Some common tests include colonoscopy, endoscopy, biopsy, or imaging studies such as CT scan or MRI. Indicate the specific test(s) required on the requisition form.
6. Additional information: If you have any allergies, medication sensitivities, or other specific concerns regarding the test, make sure to mention them. It is essential for the healthcare team to be aware of any potential risks or precautions.
7. Sign and date the requisition: Once you have filled out all the necessary information, review the form for accuracy. Ensure that you have signed and dated the requisition as requested. Unsigned or undated forms may delay the processing of your test.

Who needs a GI cancer test requisition?

1. Individuals with specific gastrointestinal symptoms: If you experience persistent abdominal pain, unexplained weight loss, changes in bowel habits, blood in stool, or difficulty swallowing, your healthcare provider may recommend a GI cancer test.
2. Individuals at high risk for GI cancer: People with a family history of gastrointestinal cancer, especially colon or stomach cancer, may need regular screening tests to detect any potential signs of cancer early.
3. Individuals with certain medical conditions: If you have been diagnosed with conditions such as inflammatory bowel disease (Crohn's disease or ulcerative colitis) or hereditary cancer syndromes, you might require regular GI cancer testing.
4. Individuals with previous abnormal test results: If you have previously received abnormal results from a GI cancer screening test, further testing may be necessary to determine the cause and evaluate for potential cancer.

It is important to consult with your healthcare provider to determine if you need a GI cancer test requisition based on your specific symptoms, medical history, and risk factors.

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What is gi cancer test requisition?

GI cancer test requisition is a form or document used to request a gastrointestinal cancer test for a patient.

Who is required to file gi cancer test requisition?

Healthcare providers or clinicians are required to file GI cancer test requisition for their patients.

How to fill out gi cancer test requisition?

GI cancer test requisition can be filled out by providing patient information, test requested, reason for test, and healthcare provider's information.

What is the purpose of gi cancer test requisition?

The purpose of GI cancer test requisition is to request a test for diagnosing gastrointestinal cancer in a patient.

What information must be reported on gi cancer test requisition?

Information such as patient demographics, test requested, reason for test, healthcare provider's information, and date of request must be reported on GI cancer test requisition.