Get the free COLOGUARD ORDER REQUISITION FORM

BODYGUARD ORDER REQUISITION FORM EXACT SCIENCES LABORATORIES, LLC Stool-based DNA test with hemoglobin immunoassay component Provider & Order Information 145 E Badger Rd, Ste 100, Madison, WI 53713

How to fill out cologuard order requisition form

How to fill out cologuard order requisition form

1. To fill out the cologuard order requisition form, follow these steps:
2. Start by entering the patient's information, such as their name, date of birth, and contact details.
3. Indicate the healthcare provider's information, including their name, address, and phone number.
4. Specify the insurance information, including the insurance provider's name and policy number.
5. Fill in the clinical history, documenting any relevant medical conditions, symptoms, or previous tests.
6. Choose the appropriate test options and mark any additional instructions, if necessary.
7. Include any relevant supporting documents, such as the patient's medical records or referral form.
8. Double-check all the entered information for accuracy and completeness.
9. Sign and date the requisition form to validate the order.
10. Submit the completed form to the designated department or send it electronically as per the instructions provided.

Who needs cologuard order requisition form?

1. The cologuard order requisition form is required by healthcare providers who want to order the Cologuard test for their patients.
2. It is commonly used by gastroenterologists, primary care physicians, oncologists, and other clinicians involved in colorectal cancer screening and diagnosis.
3. Patients who are eligible for colorectal cancer screening may also need this form if their doctor decides to order the Cologuard test as part of their diagnostic plan.

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What is cologuard order requisition form?

The cologuard order requisition form is a document used to request the cologuard test for patients.

Who is required to file cologuard order requisition form?

Healthcare providers such as doctors and nurses are required to file the cologuard order requisition form.

How to fill out cologuard order requisition form?

The cologuard order requisition form can be filled out by providing the patient's information, healthcare provider's details, and any other required information.

What is the purpose of cologuard order requisition form?

The purpose of the cologuard order requisition form is to request the cologuard test for a patient to screen for colorectal cancer.

What information must be reported on cologuard order requisition form?

The cologuard order requisition form must include the patient's demographic information, relevant medical history, and the healthcare provider's contact information.