Get the free MAILING KIT REQUISITION FORM FOR NON-INVASIVE AMPLIFIED TESTING FOR CHLAMYDIA/GC (UR...
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This form is used to requisition non-invasive amplified testing kits for Chlamydia and Gonorrhea. It includes details for ordering urine collection kits and individual supplies required for testing.
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How to fill out mailing kit requisition form
How to fill out MAILING KIT REQUISITION FORM FOR NON-INVASIVE AMPLIFIED TESTING FOR CHLAMYDIA/GC (URINE KITS)
01
Begin by obtaining the MAILING KIT REQUISITION FORM from the testing facility or their website.
02
Fill in your personal information at the top of the form, including your name, date of birth, and contact information.
03
Indicate the type of test you are requesting by checking the appropriate box for NON-INVASIVE AMPLIFIED TESTING FOR CHLAMYDIA/GC (URINE KITS).
04
Fill out any required insurance information, if applicable.
05
Provide details about your healthcare provider, including their name, address, and contact number.
06
Review the form for completeness and accuracy before signing at the designated area.
07
Ensure you include any additional documentation if required by the testing facility.
08
Place the completed form in the designated envelope along with any necessary samples.
09
Mail the envelope using a reliable postal service.
10
Retain a copy of the requisition form for your records.
Who needs MAILING KIT REQUISITION FORM FOR NON-INVASIVE AMPLIFIED TESTING FOR CHLAMYDIA/GC (URINE KITS)?
01
Individuals seeking testing for chlamydia and gonorrhea who prefer a non-invasive urine test.
02
Patients recommended by healthcare providers for STI screening.
03
Individuals who are experiencing symptoms related to STIs.
04
People who may have been exposed to chlamydia or gonorrhea.
05
Anyone who wants to proactively check their sexual health.
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People Also Ask about
What is GC and chlamydia amplified ?
The CT and GC Direct Amplified Test is a gene amplification based technology that represents one of the most sensitive methods for the detection of CT and GC in urogenital samples. This test has the important added advantage that patient samples may be used to reliably screen for the presence of CT and GC.
What is the labcorp code for gc chlamydia?
CPT Code(s): 87491.
What is the code for chlamydia test at labcorp?
LOINC Map Order CodeOrder Code Name 183194 Chlamydia/GC Amplification 183194 Chlamydia/GC Amplification 183194 Chlamydia/GC Amplification Order Code 18319420 more rows
How do you collect for GC and chlamydia?
For collection: Prior to sampling, the patient should not have urinated for at least one hour. Female patients must not clean the labial area before collection. Collect approximately 10-50 mL of first-void in a sterile container.
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What is MAILING KIT REQUISITION FORM FOR NON-INVASIVE AMPLIFIED TESTING FOR CHLAMYDIA/GC (URINE KITS)?
It is a form used to request urine testing kits for non-invasive amplified testing of Chlamydia and Gonorrhea.
Who is required to file MAILING KIT REQUISITION FORM FOR NON-INVASIVE AMPLIFIED TESTING FOR CHLAMYDIA/GC (URINE KITS)?
Healthcare providers or testing facilities that need to obtain urine testing kits for their patients must file this requisition form.
How to fill out MAILING KIT REQUISITION FORM FOR NON-INVASIVE AMPLIFIED TESTING FOR CHLAMYDIA/GC (URINE KITS)?
Fill out the form by providing patient information, the quantity of kits requested, and any relevant clinical details as specified in the form's instructions.
What is the purpose of MAILING KIT REQUISITION FORM FOR NON-INVASIVE AMPLIFIED TESTING FOR CHLAMYDIA/GC (URINE KITS)?
The purpose is to facilitate the collection and testing of urine samples for Chlamydia and Gonorrhea in a non-invasive manner.
What information must be reported on MAILING KIT REQUISITION FORM FOR NON-INVASIVE AMPLIFIED TESTING FOR CHLAMYDIA/GC (URINE KITS)?
The form must include patient demographics, contact information, clinician details, the number of kits requested, and any additional clinical notes required for processing.
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