FM133- - bInvitaeb 2025

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The document outlines the Oncology Criteria Form for Medicare, detailing the requirements and criteria for genetic testing related to hereditary cancers. It specifies conditions such as Hereditary Breast and Ovarian Cancer, Lynch Syndrome, and other hereditary cancer syndromes, along with necessary patient information and documentation required for testing approval. The form emphasizes the importance of informed consent and outlines the implications of genetic test results.

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Click ‘Get Form’ to open the FM133-2 bInvitaeb in the editor.
Begin by entering the patient’s name and date of birth in the designated fields at the top of the form.
Review the checklist for hereditary breast and ovarian cancer (HBOC) and check all applicable boxes that apply to your patient’s indication.
Proceed to the hereditary colorectal cancer syndromes section. Carefully read each criterion and mark those that are relevant based on your patient's history.
For additional testing criteria, such as CDH1 or Li-Fraumeni syndrome, ensure you select all applicable options based on family history and personal medical background.
Once all sections are completed, review the entire form for accuracy before saving or submitting it through our platform.

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