Get the free 1789 EMAIL: supporttempus

R EQ U I S I T I O N FO RM Associated Study ID FAX: 708.575.1789 EMAIL: support tempus.com PATIENT INFORMATIONORDERING PHYSICIAN Informational Impatient Medical Record #DOB (MM/DD/YYY)Street Address,

How to fill out 1789 email supporttempus

How to fill out Tempus Requisition Form

1. Obtain the Tempus Requisition Form from the designated source.
2. Fill out the patient's personal information, including name, date of birth, and medical record number.
3. Provide the referring physician's details, including name and contact information.
4. Specify the type of specimen being collected (e.g., blood, tissue) and ensure proper labeling.
5. Indicate any specific tests or analyses required.
6. Review the form for accuracy and completeness before submission.
7. Submit the completed form along with the specimen to the designated Tempus laboratory.

Who needs Tempus Requisition Form?

1. Healthcare providers who are referring patients for genomic testing or related services.
2. Patients who need their specimens tested to assist in diagnosis or treatment planning.
3. Clinical staff involved in the specimen collection and submission process.

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What is Tempus Requisition Form?

The Tempus Requisition Form is a document used to request testing or services from Tempus, a company specializing in precision medicine and genomics.

Who is required to file Tempus Requisition Form?

Healthcare providers, such as doctors or clinics, are required to file the Tempus Requisition Form when they want to order specific genomic tests for their patients.

How to fill out Tempus Requisition Form?

To fill out the Tempus Requisition Form, providers must complete sections that include patient information, clinical history, and the specific tests being requested, ensuring all fields are accurately filled.

What is the purpose of Tempus Requisition Form?

The purpose of the Tempus Requisition Form is to facilitate the orderly and accurate processing of genomic testing requests, ensuring that necessary patient information is communicated clearly.

What information must be reported on Tempus Requisition Form?

The information that must be reported on the Tempus Requisition Form includes patient demographics, clinical information, the specific tests requested, and any additional relevant details that may assist in the testing process.