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Get the free Fecal Immunochemical Test (FIT) Positive Referral Form - WRH

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TELEMEDICINE PATIENT REFERRAL Fax to: 5199852612 Attn: April Reed / Teresa McGregorREFERRING PHYSICIAN INFORMATION Physician Name: Phone Number: Ext: Alternate Number: Fax Number: CONSULTANT INFORMATION
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How to fill out fecal immunochemical test fit

01
Start by reading the instructions provided with the fecal immunochemical test (FIT) kit.
02
Make sure you have all the necessary materials, including the collection device, collection paper, and sample collection tube.
03
Find a clean and dry surface to perform the test.
04
Remove the collection device from its packaging and unfold it.
05
Position the collection paper on the toilet seat with the flap hanging into the toilet bowl.
06
Sit on the collection paper and have a bowel movement directly onto the paper. Make sure to avoid urine and water in the toilet bowl.
07
After completing the bowel movement, use the collection device to collect a small sample of stool from different areas of the bowel movement.
08
Insert the collection device into the sample collection tube and close it tightly.
09
Follow the instructions to label the sample collection tube with your personal information.
10
Place the labeled sample collection tube into the provided sealable bag or container.
11
Safely dispose of the remaining materials and wash your hands thoroughly.
12
Follow the instructions for returning the sealed sample collection to the designated laboratory or healthcare provider.
13
Wait for the results to be communicated to you by the laboratory or healthcare provider.

Who needs fecal immunochemical test fit?

01
Fecal immunochemical test (FIT) is recommended for individuals who are at average risk of developing colorectal cancer.
02
This includes people between the ages of 50 and 75 years.
03
FIT is especially important for those who have a family history of colorectal cancer or polyps, as well as individuals with inflammatory bowel disease.
04
If you have symptoms such as unexplained weight loss, changes in bowel habits, or blood in your stool, it is important to consult with a healthcare provider who may recommend a FIT or other diagnostic tests.
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The fecal immunochemical test (FIT) is a screening test used to detect hidden blood in the stool, which may indicate the presence of colorectal cancer or other gastrointestinal issues.
Individuals aged 45 and older or those with a family history of colorectal cancer are typically advised to undergo the FIT screening, often as part of routine health check-ups.
To fill out a FIT test, you typically collect a stool sample using the provided kit, follow the instructions carefully, and then send it back to the designated lab for analysis.
The purpose of the FIT is to screen for colorectal cancer by detecting the presence of blood in the stool, which can be an early indicator of potential health issues.
The report usually includes the test results, a recommendation for follow-up or further testing if blood is detected, and any relevant patient information.
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