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KRASvariant Test Requisition Form
T E ST I NG O R D E R ED
Reason for Testing:M100 KRASvariantTM For assessment of cancer risk
or for treatment choice guidance
If it has cancer: Stage of Cancer
If
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What is kras-variant test requisition form?
The kras-variant test requisition form is a document used to request a test to identify specific kras gene variants in cancer patients.
Who is required to file kras-variant test requisition form?
Oncologists or healthcare providers treating cancer patients are required to file the kras-variant test requisition form.
How to fill out kras-variant test requisition form?
The form should be filled out with patient information, reason for the test, and specific instructions for the testing facility.
What is the purpose of kras-variant test requisition form?
The purpose of the form is to request a test to determine if a cancer patient has specific kras gene variants that may impact treatment options.
What information must be reported on kras-variant test requisition form?
Patient demographic information, medical history, reason for the test, and any relevant clinical information must be reported on the form.
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