Cancer Test Requisition (All Blue Fields Required) 2025

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  1. Click ‘Get Form’ to open the Cancer Test Requisition in the editor.
  2. Begin by filling out the 'Patient Information' section. Ensure all blue fields are completed, including Last Name, First Name, DOB, and Gender.
  3. Next, provide 'Specimen Information.' Select the Specimen Type and enter the Collection Date. Remember to include any relevant notes regarding specimen acceptance.
  4. In the 'ICD-9 Codes' section, input necessary codes that correspond to the patient's condition. This is crucial for insurance processing.
  5. Complete the 'Ordering Physician' details accurately. Include their name, facility name, and contact information.
  6. Finally, ensure that all signatures are obtained where required. This includes clinician and patient signatures in the confirmation of informed consent section.

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A general laboratory requisition form typically includes: Patient Information: Personal details such as name, date of birth, and contact information. Test Orders: Specific tests that need to be conducted, whether its blood tests or a more specialized blood chemistry analyzer.
Generally, its a scan taken of the entire body with either an MRI or a CT machine. Because it covers the whole body, it might not look at any given part of the body as closely as an MRI or CT scan would when its used to examine a particular organ or area of the body for a specific reason.
Imaging tests used in diagnosing cancer may include a computerized tomography (CT) scan, bone scan, magnetic resonance imaging (MRI), positron emission tomography (PET) scan, ultrasound and X-ray, among others. Biopsy. During a biopsy, your doctor collects a sample of cells for testing in the laboratory.
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