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The document is a COVID-19 Test Requisition Form from IGeneX, Inc., detailing patient and billing information, test options, specimen collection and handling instructions, and shipping guidelines for COVID-19 testing. It outlines the responsibilities of patients regarding insurance claims and financial obligations, as well as the necessary steps for specimen collection and submission to ensure accurate testing.

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Versions	Form popularity	Fillable & printable
2022	4.4 Satisfied (37 Votes)
2021	4.4 Satisfied (26 Votes)
2020	4.8 Satisfied (55 Votes)

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