South Texas Health System McAllen Hospital in McAllen TX 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Patient ID at the designated label section. This helps identify your records accurately.
3. Fill in the Referring Physician Name field with the name of your healthcare provider who recommended the screening.
4. In the Ordering Facility/Address for report section, input the address where you would like your results sent.
5. Review the list of wellness panels and single tests. Select any tests you wish to undergo by marking them clearly.
6. Indicate your payment method by checking either 'Check' or 'Cash' and fill in the total amount collected.
7. Finally, sign and date at the bottom of the form to acknowledge understanding of STHS's services and waiver of claims.

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