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15 Argonaut, Toll Free 866 262 7943 Also Video, CA 92656 Fax 949 900 5501 ambrygen.com CIA# 05D0981414 Laboratory Director: Wendi Zen, PhD, DA BMG ordering checklist n n n n Breast Cancer Test Requisition

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What is breast cancer test requisition?

A breast cancer test requisition is a form or document that is filled out by a healthcare provider to request a test to determine if a patient has breast cancer.

Who is required to file breast cancer test requisition?

Healthcare providers such as doctors, nurses or radiologists are required to file breast cancer test requisition.

How to fill out breast cancer test requisition?

To fill out a breast cancer test requisition, the healthcare provider must include the patient's personal information, reason for the test, and any relevant medical history.

What is the purpose of breast cancer test requisition?

The purpose of a breast cancer test requisition is to facilitate the process of diagnosing breast cancer in patients who are showing symptoms or have risk factors.

What information must be reported on breast cancer test requisition?

The information that must be reported on a breast cancer test requisition includes the patient's name, date of birth, medical history, reason for the test, and the healthcare provider's contact information.

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