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ORDERING COLOGUARD VIA EHRQuick Start GuideHOW TO GET STARTED Please note that most EHR systems allow you to create a test requisition form template to order tests. These steps are provided as a convenience

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How to fill out cologuard order requisition form

01

Obtain the Cologuard order requisition form from your healthcare provider or download it from the official Cologuard website.

02

Fill in the patient's personal information, including name, date of birth, and contact information.

03

Provide the patient's insurance information, if applicable, or indicate if it is a self-pay situation.

04

Select the appropriate test for the patient, ensuring that all boxes are checked for included components if necessary.

05

Include any medical history or symptoms that may be relevant to the test.

06

Sign and date the requisition form, confirming that the information provided is accurate.

07

Submit the completed requisition form to the designated laboratory for processing.

Who needs cologuard order requisition form?

01

Individuals aged 45 and older who are at average risk for colorectal cancer.

02

Patients with a family history of colorectal cancer.

03

Patients who prefer a non-invasive testing option over a colonoscopy.

04

Individuals who are not experiencing symptoms of colorectal issues but are due for screening.

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What is cologuard order requisition form?

The Cologuard order requisition form is a document used to request the Cologuard test, a non-invasive screening method for colorectal cancer.

Who is required to file cologuard order requisition form?

The Cologuard order requisition form must be filed by healthcare providers who are prescribing the Cologuard test for their patients.

How to fill out cologuard order requisition form?

To fill out the Cologuard order requisition form, providers must complete sections that include patient information, physician information, and any relevant medical history, ensuring all required fields are filled accurately.

What is the purpose of cologuard order requisition form?

The purpose of the Cologuard order requisition form is to officially initiate the testing process by providing necessary patient and physician details to facilitate the collection and analysis of samples.

What information must be reported on cologuard order requisition form?

The information that must be reported on the Cologuard order requisition form includes patient demographics, physician contact information, a selection of the test requested, and any pertinent medical history.

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