Tempus - Data-Driven Precision Medicine 2026

1. Click ‘Get Form’ to open the Tempus - Data-Driven Precision Medicine document in the editor.
2. Begin by filling out the Patient Information section. Enter the patient's last name, first name, date of birth, and medical record number. Ensure all fields are completed accurately.
3. Next, provide the Ordering Physician Information. Include the physician's name, contact details, and address. This information is crucial for report delivery.
4. In the xT Panel Test Options section, select the appropriate test options based on the patient's condition. Make sure to check any relevant boxes for sample types and additional tests.
5. Complete the Pathology Information if a report is not attached. Fill in details about specimen collection and pathology lab name as required.
6. Proceed to Billing Information and enter diagnosis codes along with insurance details. Attach a copy of the insurance card if necessary.
7. Finally, ensure that both you and the patient sign where indicated to confirm consent for testing and release of information.

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