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Johns Hopkins Genomics DNA Diagnostic Laboratory Clinical Some Requisition Form Page 1v121922Referrer Information Physician:UPON/NPI:Genetic Counselor:Email:Institution: Address: Phone:Fax:Additional
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How to fill out jhg clinical exome requisition
How to fill out jhg clinical exome requisition
01
Obtain the JHG Clinical Exome requisition form from the healthcare provider
02
Fill out the patient information section including name, date of birth, medical record number, and contact information
03
Fill out the insurance information section if applicable
04
Provide relevant clinical information and indication for testing
05
Include any relevant family history information
06
Obtain necessary signatures from the healthcare provider and patient or guardian
Who needs jhg clinical exome requisition?
01
Patients who have been referred by their healthcare provider for genetic testing
02
Healthcare providers who suspect a genetic cause for a patient's condition and require further diagnostics
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What is jhg clinical exome requisition?
JHG clinical exome requisition is a form used to request a clinical exome sequencing test.
Who is required to file jhg clinical exome requisition?
Healthcare providers or clinicians who are ordering the clinical exome sequencing test are required to fill out the requisition form.
How to fill out jhg clinical exome requisition?
The requisition form must be filled out with relevant patient information, reason for testing, and any other required details.
What is the purpose of jhg clinical exome requisition?
The purpose of jhg clinical exome requisition is to request a clinical exome sequencing test for diagnostic purposes.
What information must be reported on jhg clinical exome requisition?
Patient demographics, clinical history, family history, reason for testing, and any relevant laboratory results must be reported on the requisition form.
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