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Ecotype DX International Requisition FormGenomic Health, Inc. 301 Penobscot Drive Redwood City, CA 94063 USA Tel +1 650 569 2080 Fax +1 650 569 2081 Email: international genomichealth.com SECTION
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What is oncotype dx international requisition?
Oncotype DX international requisition is a form used to request the Oncotype DX test for cancer diagnosis and treatment planning.
Who is required to file oncotype dx international requisition?
Oncologists, healthcare providers, or medical professionals responsible for the treatment or diagnosis of cancer patients are required to file the Oncotype DX international requisition.
How to fill out oncotype dx international requisition?
The Oncotype DX international requisition can be filled out by providing patient information, medical history, and the specific test requested. It must be signed by a licensed healthcare provider.
What is the purpose of oncotype dx international requisition?
The purpose of the Oncotype DX international requisition is to request the Oncotype DX test, which analyzes the genetic makeup of a tumor to predict its recurrence risk and guide treatment decisions.
What information must be reported on oncotype dx international requisition?
Information such as patient demographics, medical history, insurance details, healthcare provider information, and the specific test requested must be reported on the Oncotype DX international requisition form.
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