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CEA REQUISITIONPATIENTS NAME: ___ DATE OF BIRTH: ___/___/___ (DD/MON/YYY)SEX: ___ONTARIO HEALTH INSURANCE NUMBER: __/__/__/__/__/__/__/__/__/ Health Number__/__/ VersionREASON FOR ORDERING CEA ASSAY

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Visit the Lifelabs website

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Online form - lifelabs is a digital form provided by Lifelabs for individuals to submit their information electronically.

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