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How to use or fill out cologuard order form with our platform
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Click ‘Get Form’ to open the Cologuard order form in the editor.
Begin by filling out the 'Provider Information' section. Enter the healthcare organization name, provider name, and contact details including phone number and secure fax number for results.
In the 'Order Information' section, provide the necessary ICD-10 codes that best describe the reason for testing. Ensure you include your NPI number and location address.
Next, complete the 'Patient Demographics' section. Fill in patient ID/MRN, first and last name, date of birth, sex, and shipping address.
For insurance billing information, indicate whether Exact Sciences should bill insurance. If yes, complete policyholder details and insurance carrier information.
Finally, review all entries for accuracy before signing in the 'Certification' section. Ensure you date your order before submitting.
Start using our platform today to streamline your Cologuard order form process for free!
Who ordered a Cologuard test for me? Cologuard orders require a prescription. A licensed health care provider may have placed one on your behalf. If you have a primary care doctor, please share your results with them.
cologuard form
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Our physician portal is another unique feature of Exact Sciences Laboratories. The easy-to-use, secure website allows physicians to place Cologuard orders and.
Cologuard Order Form FIT Kit Patient Information and Enrollment Form Patient Education Sheet PHN Annual Reminder to Screen Letter PHN FIT Enrollment Form.
I am a licensed healthcare provider authorized to order Cologuard. This test is medically necessary and the patient is eligible to use Cologuard. I will
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