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EXACT SCIENCES LABORATORIES, LLCE Badger Rd, Ste, Madison, WI p| NPITINHealthcare Organization Name: ___ Provider Name: ___ Learn how to order Cologuard, a colon cancer screening test, by fax or
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Obtain a copy of the cologuard pdf order form.
02
Fill out patient's information accurately including name, date of birth, address, and contact details.
03
Provide healthcare provider's information such as name, contact details, and clinic address.
04
Indicate the reason for ordering cologuard test.
05
Verify insurance information and complete any required sections related to billing.
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Review the form for accuracy and sign where required.

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Healthcare providers who want to order a cologuard test for their patients.
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Cologuard PDF order form is a document used to request the Cologuard screening test kit.
Healthcare providers or physicians are required to fill out and submit the Cologuard PDF order form.
To fill out the Cologuard PDF order form, healthcare providers need to provide patient information, insurance details, and ordering physician information.
The purpose of the Cologuard PDF order form is to request the Cologuard screening test kit for patients at risk of colorectal cancer.
The Cologuard PDF order form requires patient details, insurance information, and ordering physician information to successfully request the screening test kit.
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