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DECIPHER BLADDER REQUISITION FORM
Fax: 1.858.766.6575 (Direct)
Email: orders@decipherbio.com
ALL FIELDS IN THIS BOX ARE REQUIREDORDERING PHYSICIAN INFORMATIONAccount #PATIENT INFORMATIONAddressPatient
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How to fill out decipher bladder turbt requisition
How to fill out decipher bladder turbt requisition
01
Obtain the decipher bladder TURBT requisition form from the designated department or clinic.
02
Fill out patient's demographic information including name, date of birth, and medical record number.
03
Provide relevant clinical information such as reason for procedure, clinical history, and any relevant lab results.
04
Indicate the date and time the procedure is scheduled to take place.
05
Obtain necessary signatures from the ordering physician or healthcare provider.
06
Submit the completed decipher bladder TURBT requisition form to the appropriate department or facility for processing.
Who needs decipher bladder turbt requisition?
01
Patients who are scheduled to undergo a decipher bladder TURBT procedure.
02
Healthcare providers or physicians who are ordering the decipher bladder TURBT procedure for their patients.
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What is decipher bladder turbt requisition?
Decipher bladder turbt requisition is a form used to request a transurethral resection of bladder tumor (TURBT) procedure to diagnose or treat bladder cancer.
Who is required to file decipher bladder turbt requisition?
Decipher bladder turbt requisition must be filed by the patient's healthcare provider or physician.
How to fill out decipher bladder turbt requisition?
Decipher bladder turbt requisition should be filled out by providing the patient's information, reason for the procedure, and any relevant medical history.
What is the purpose of decipher bladder turbt requisition?
The purpose of decipher bladder turbt requisition is to authorize and request a TURBT procedure for a suspected or confirmed bladder tumor.
What information must be reported on decipher bladder turbt requisition?
Decipher bladder turbt requisition must include patient demographics, clinical indication for the procedure, relevant medical history, and any necessary authorizations.
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