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Harmony Prenatal Test Requisition PATIENT INFORMATIONPRESCRIBER Informational Nameless NameFirst Name Clinical of Birth Year / Month / DayAddressHealth Ins. No. Flex No kg lbsWeightAddressStreetOfficeCityProvincePostal
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How to fill out harmony prenatal test requisition

How to fill out harmony prenatal test requisition
01
Step 1: Obtain a Harmony prenatal test requisition form from your healthcare provider.
02
Step 2: Complete the patient information section on the requisition form. This includes providing your full name, date of birth, contact information, and any relevant medical history.
03
Step 3: Indicate the healthcare provider who will receive the test results by providing their name, clinic or hospital name, and contact information.
04
Step 4: Provide your insurance information if applicable. This may include your insurance carrier's name, policy number, and contact information.
05
Step 5: Take the completed requisition form to a laboratory or healthcare facility that offers Harmony prenatal testing. They will collect a blood sample from you and process the test.
06
Step 6: Wait for the test results to be sent to your healthcare provider. They will then inform you of the results and discuss any further steps or recommendations.
Who needs harmony prenatal test requisition?
01
Harmony prenatal test requisition is needed by pregnant women who wish to have non-invasive prenatal testing (NIPT) to screen for certain chromosomal abnormalities in their developing fetus.
02
It may also be recommended for women with a high-risk pregnancy or those who have had abnormal results on other prenatal screening tests.
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What is harmony prenatal test requisition?
Harmony prenatal test requisition is a form used to request a prenatal test that analyzes cell-free DNA in maternal blood to screen for certain chromosomal abnormalities in a fetus.
Who is required to file harmony prenatal test requisition?
Harmony prenatal test requisition is typically filed by healthcare providers on behalf of pregnant women who are interested in obtaining information about the genetic health of their fetus.
How to fill out harmony prenatal test requisition?
Harmony prenatal test requisition can be filled out by providing the necessary patient information, healthcare provider details, and consent for the test.
What is the purpose of harmony prenatal test requisition?
The purpose of harmony prenatal test requisition is to screen for chromosomal abnormalities such as Down syndrome, trisomy 18, and trisomy 13 in a fetus.
What information must be reported on harmony prenatal test requisition?
Harmony prenatal test requisition typically requires information such as patient demographics, medical history, gestational age, and healthcare provider details.
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