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BODYGUARD ORDER REQUISITION FORMAT SCIENCES LABORATORIES, LLC 145 E. Badger Rd, Ste 100, Madison, WI 53713 P: 844.870.8879 | www.exactlabs.com Fax completed form to 844.870.8875REQUIRED Provider Information

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How to fill out cologuard order formfill out

01

Step 1: Obtain the Cologuard order form from the healthcare provider

02

Step 2: Fill in all required information such as patient demographics, insurance information, and healthcare provider details

03

Step 3: Ensure all information is accurate and complete

04

Step 4: Submit the completed order form to the designated laboratory for processing

Who needs cologuard order formfill out?

01

Patients who have been recommended by their healthcare provider to undergo colorectal cancer screening using Cologuard

02

Healthcare providers who are ordering the Cologuard test for their patients

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What is cologuard order formfill out?

Cologuard order form is a form used to request the Cologuard test kit for colorectal cancer screening.

Who is required to file cologuard order formfill out?

Healthcare providers are required to fill out the Cologuard order form for their patients.

How to fill out cologuard order formfill out?

Healthcare providers need to provide patient information, insurance details, and clinical indication to fill out the Cologuard order form.

What is the purpose of cologuard order formfill out?

The purpose of the Cologuard order form is to request the Cologuard test kit for colorectal cancer screening.

What information must be reported on cologuard order formfill out?

Patient information, insurance details, and clinical indication must be reported on the Cologuard order form.

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