MicroGenDX Lab Requisition Form 2017-2025 free printable template

By signing the requisition, I certify that I have informed consent from the patient as required ... The DNA technology that MicroGen DX provides is the gold standard of ... 2, 3, 4). Respiratory Synovial

How to fill out MicroGenDX Lab Requisition Form

How to fill out MicroGenDX Lab Requisition Form

1. Begin by downloading the MicroGenDX Lab Requisition Form from the official website.
2. Fill out the patient's information section with accurate personal details including full name, date of birth, and contact information.
3. Provide the ordering physician's information, including their name, contact details, and medical license number.
4. Specify the type of test required by checking the appropriate boxes on the form.
5. Include any relevant clinical history or symptoms that may assist in the testing process.
6. Sign and date the form where indicated, confirming that the information provided is correct.
7. Submit the completed form along with the specimen following the instructions provided by MicroGenDX.

Who needs MicroGenDX Lab Requisition Form?

1. Healthcare providers who require genetic testing for their patients.
2. Patients who are being referred for genetic testing by their physician.
3. Laboratories that perform genetic analysis and require requisition documentation.

People Also Ask about

How long does a Microgen test take?

The complex processing and verification associated with Next-Gen Sequencing typically takes 3-5 days. The superior data delivered in the Comprehensive report provides all the detected microbes within the sample and their relative abundances.

How much does the MicroGenDX test cost?

Tests can be paid for by the patient directly for $199, the fixed self-pay cost for most MicroGenDX tests. You may also purchase a test in advance with a doctor's approval.

How do I contact MicroGenDX?

Our Billing Department is available for any questions or concerns regarding your MicroGenDX bill at at 1-855-208-0019 option #2. The Billing Department is open 8AM to 5PM CST Monday through Friday.

How do I get a MicroGenDX test?

How To Order A MicroGenDX UTI Test Talk to your doctor. Order your MicroGenDX testing kit. Receive your kit. Collect your urine sample. Ship your sample. Testing of your sample. Get your results. Discuss your treatment options with your doctor.

Are Microgen tests accurate?

MicroGenDX knows urological DNA diagnostics Identified over 5,800 different microbial species in urine, with more than 157,000 urological samples processed. Published data showing 96.1% concordance with culture and 12 years of CAP proficiency test results with 99.2% accuracy.

How long does it take to get MicroGenDX results?

Get your results Your first level PCR results will be ready within 24 hours of your sample being received. The comprehensive sequencing results take 3-5 days. You'll receive both via email if you ordered on the MicroGenDX website and provided your email address.

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What is MicroGenDX Lab Requisition Form?

The MicroGenDX Lab Requisition Form is a document used to request genetic testing services from MicroGenDX, enabling healthcare providers to collect necessary information for sample processing and analysis.

Who is required to file MicroGenDX Lab Requisition Form?

Healthcare providers, including physicians and specialists, who are ordering genetic tests for their patients are required to file the MicroGenDX Lab Requisition Form.

How to fill out MicroGenDX Lab Requisition Form?

To fill out the MicroGenDX Lab Requisition Form, providers must enter patient information, submit relevant clinical data, specify the tests to be performed, and sign the form to confirm the request.

What is the purpose of MicroGenDX Lab Requisition Form?

The purpose of the MicroGenDX Lab Requisition Form is to standardize the submission of genetic testing requests, ensuring that all necessary information is captured for accurate testing and reporting.

What information must be reported on MicroGenDX Lab Requisition Form?

The information that must be reported on the MicroGenDX Lab Requisition Form includes patient demographics, clinical history, specific tests requested, and provider details.