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Client services×guardanthealth.com | 1.855.698.8887Place Barcode Here NPI # 1184045619 | CIA # 05D2070300 | CAP Accredited # 8765297 | D000463 R6Guardant360 CD Test Requisition & Statement of Medical
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How to fill out guardant360 cdx test requisition

01
To fill out the Guardant360 CDx test requisition, follow the steps below:
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Start by filling out the patient information section on the requisition form. This includes the patient's name, date of birth, gender, and contact information.
03
Provide the relevant medical history and clinical information in the designated section. This includes information about the patient's diagnosis, cancer type, and any previous treatments.
04
Indicate the specimen details, such as the type of specimen being submitted (e.g., blood, tissue), the date of collection, and any relevant clinical notes or comments.
05
Complete the billing and insurance information section, including the patient's insurance details and necessary authorization forms if required.
06
Sign and date the requisition form once you have reviewed and verified all the information provided.
07
Ensure that all necessary documentation, including the requisition form and any supporting medical records, are enclosed and sent to the appropriate testing laboratory.

Who needs guardant360 cdx test requisition?

01
The Guardant360 CDx test requisition is typically needed by healthcare professionals involved in the diagnosis, treatment, and monitoring of cancer patients.
02
This includes medical oncologists, pathologists, and other specialists who are responsible for managing patients with solid tumors.
03
The requisition helps in the identification of potential druggable alterations and informs treatment decisions, making it beneficial for patients with advanced or metastatic cancers.
04
It can be used for various cancer types, including lung, breast, colorectal, and prostate cancer, among others.
05
The decision to order the Guardant360 CDx test requisition is typically made based on the patient's clinical presentation and the healthcare professional's judgment.
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Guardant360 CDx test requisition is a form used to request tumor tissue and blood samples for genetic testing, specifically designed to identify genetic mutations in cancer patients to guide treatment decisions.
Healthcare providers, such as oncologists, are required to file the Guardant360 CDx test requisition when they determine that the test is necessary for their patient's treatment planning.
To fill out the Guardant360 CDx test requisition, providers must complete patient demographics, clinical information, and indicate the specific tests requested, along with their signature and date.
The purpose of the Guardant360 CDx test requisition is to facilitate the collection and testing of cancer samples to identify actionable mutations for more personalized and effective treatment options.
The information that must be reported on the Guardant360 CDx test requisition includes patient name, date of birth, medical history, details of the referring physician, and specifics of the tissue or blood sample being submitted.
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