Form preview

Alere Referral GCA-00446 2011 free printable template

Get Form
Physician NPI: Alar Referral To: Referral Team Physician Name: Practice Fax: Practice Phone: Office Contact: Patient Location (at time of referral): Home Fax: 317-842-2684 OR 317-842-2694 Phone: Date:
pdfFiller is not affiliated with any government organization

Get, Create, Make and Sign Alere Referral GCA-00446

Edit
Edit your Alere Referral GCA-00446 form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your Alere Referral GCA-00446 form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing Alere Referral GCA-00446 online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit Alere Referral GCA-00446. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

Alere Referral GCA-00446 Form Versions

Version
Form Popularity
Fillable & printabley
4.0 Satisfied (49 Votes)
4.7 Satisfied (64 Votes)

How to fill out Alere Referral GCA-00446

Illustration

How to fill out Alere Referral GCA-00446

01
Obtain the Alere Referral GCA-00446 form from your healthcare provider or the relevant website.
02
Fill in the patient's personal details, including name, date of birth, and contact information.
03
Provide the referring physician's information, including name, contact details, and office address.
04
Fill in the reason for the referral, specifying any relevant symptoms or conditions that necessitate the referral.
05
Include details of any previous medical history or treatments related to the referral.
06
Check for any additional requirements or documentation that might be needed and attach them if necessary.
07
Review the completed form for accuracy and completeness before submission.
08
Submit the form to the designated healthcare facility or provider.

Who needs Alere Referral GCA-00446?

01
Patients who require specialized testing or treatment that is not available with their primary care provider.
02
Healthcare providers who need to refer patients for further evaluation or management of specific medical conditions.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.7
Satisfied
64 Votes

People Also Ask about

The Alere Triage® TOX Drug Screen is a competitive fluorescence immunoassay designed for the qualitative determination of parent drugs and/or drug metabolites in urine specimens.
In federal drug-free workplace programs, the cutoff for an initial test of marijuana metabolites is 50 nanograms per milliliter (ng/mL), while the cutoff for confirmatory testing is 15 ng/mL. Testing negative on a marijuana test indicates that the cannabinoids or metabolites measured were not found in the test sample.
A result of 500 ng/mL is a strong indicator that the patient has used these drugs within the past three days.
Computerized Fax Reporting Those clients who do not have Internet access can receive completed test results via computer fax. Within one hour of test completion, Alere Toxicology's computer fax system will send results in either a list or report format.
Alere's test methods are scientifically accepted, provide highly specific drug identification, and are legally defensible. Turnaround Time 24 hours for negative results, 24-72 hours for positive results1. 48 hours for negative results, 48-72 hours for positive results1.
Drug tests commonly test for: Alcohol. Amphetamines, including methamphetamine. Barbiturates, such as phenobarbital and secobarbital. Benzodiazepines, such as alprazolam or clonazepam. Cocaine. Marijuana (THC) Opioids and opiates, such as heroin, codeine, oxycodone, morphine, hydrocodone, and fentanyl. Phencyclidine (PCP)
Alere's test methods are scientifically accepted, provide highly specific drug identification, and are legally defensible. Turnaround Time 24 hours for negative results, 24-72 hours for positive results1. 48 hours for negative results, 48-72 hours for positive results1.
Cutoff levels are expressed in nanograms (ng) per milliliter (mL) for urine drug testing and oral fluid drug testing or picograms (pg) per milligram (mg) for hair drug testing. These denote the concentration level of the drug metabolite. Each specimen type and drug tested has a different detection window.
Almost all negative results will be available to you 1-2 business days after the testing lab receives the specimen. If additional testing is needed, we may need an extra day or two to confirm the results. Positive results may take between 4-6 days because of the repeated tests that are needed to confirm drug use.
When this test is positive, it may indicate that there's inflammation in your urinary tract or kidneys. The most common cause for white blood cells in urine is a bacterial urinary tract infection (UTI).
Those clients who do not have Internet access can receive completed test results via computer fax. Within one hour of test completion, Alere Toxicology's computer fax system will send results in either a list or report format. The list provides limited information with all results appearing in a grid.
Alere's test methods are scientifically accepted, provide highly specific drug identification, and are legally defensible. Turnaround Time 24 hours for negative results, 24-72 hours for positive results1. 48 hours for negative results, 48-72 hours for positive results1.
The urine marijuana test will be positive if the amount of THC in the sample is more than 50 nanograms per milliliter (ng/mL).
A 5 Panel Urine Drug Test includes the commonly abused substances: Amphetamines. Cocaine Metabolites. Marijuana Metabolites (THC) Opiates. Phencyclidine (PCP)
Urine testing may include a two-part process – screening and confirmation. Alere performs initial screening through immunoassay, a technique for analyzing and measuring drugs of abuse in urine. If the specimen initially tests positive, a confirmation test is performed before the laboratory reports the result.
The Alere Triage® TOX Drug Screen is a competitive fluorescence immunoassay designed for the qualitative determination of parent drugs and/or drug metabolites in urine specimens. The test procedure involves the addition of a urine specimen to the sample port on the Test Device.
Alere Toxicology Services, Inc. provides substance abuse testing solutions. The Company offers laboratory testing services, including urine drug, oral fluid, and hair testing services, as well as lab support services such as result reporting, collection site management, and quality assurance.
Alere iCup 12-Panel Drug Test All inclusive 12-panel drug test provides results within 5 minutes. Tests for COC, THC, OPI, AMP, MAMP, PCP, BZO, BAR, OXY, MTD, TCA and MDMA+ Adulterants (CR, NI, PH, BL, S.G.) Features integrated test strip. Tamper resistant.
Nanograms per milliliter, abbreviated ng/mL, is the unit of measure most commonly used to express drug testing cut-off levels and quantitative test results in urine and oral fluid. A nanogram is 10-9 grams. yes.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

People who need to keep track of documents and fill out forms quickly can connect PDF Filler to their Google Docs account. This means that they can make, edit, and sign documents right from their Google Drive. Make your Alere Referral GCA-00446 into a fillable form that you can manage and sign from any internet-connected device with this add-on.
Alere Referral GCA-00446 can be edited, filled out, and signed with the pdfFiller Google Chrome Extension. You can open the editor right from a Google search page with just one click. Fillable documents can be done on any web-connected device without leaving Chrome.
Use the pdfFiller mobile app to fill out and sign Alere Referral GCA-00446. Visit our website (https://edit-pdf-ios-android.pdffiller.com/) to learn more about our mobile applications, their features, and how to get started.
Alere Referral GCA-00446 is a specific referral form used for the processing of medical tests or related services provided by Alere.
Healthcare providers or authorized personnel who are referring patients for specific tests or services are required to file Alere Referral GCA-00446.
To fill out Alere Referral GCA-00446, follow the instructions provided on the form, ensuring all required fields are completed with accurate patient and referral information.
The purpose of Alere Referral GCA-00446 is to facilitate the referral process, ensuring that necessary information is communicated for timely medical testing or services.
Information required includes patient identification details, referring physician details, the specific tests or services requested, and any relevant medical history or notes.
Fill out your Alere Referral GCA-00446 online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.