Tempus form: Fill out & sign online

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Click ‘Get Form’ to open the tempus form in the editor.
Begin by filling out the 'Ordering Physician Information' section. Enter the physician's name, NPI number, and contact details including phone and email.
Next, complete the 'Patient Information' section. Input the patient's last name, first name, date of birth, address, and contact information.
In the 'Panel Test Options' section, select the appropriate test options based on clinical relevance. Make sure to review any additional options for FFPE tissue.
Fill in the 'Current Diagnosis' section with relevant diagnosis codes and disease status. Ensure all applicable fields are completed accurately.
Complete the 'Billing Information' section by providing insurance details and policy holder information as required.
Finally, ensure that both physician signatures are obtained at the end of the form before submission.

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