Cologuard Requisition Form Pdf

Cologuard Requisition Form Pdf - COLOGUARD ORDER REQUISITION FORM EXACT SCIENCES LABORATORIES LLC 145 E Badger Rd Ste 100 Madison WI 53713 P 844 870 8879 exactlabs Fax completed form to 844 870 8875 Provider Order Information Recommended type all Provider information Editable printable PDF available at exactlabs PROVIDER

Download an Cologuard order form or explore our electronic ordering options for lighter access to patient information and outcomes

Cologuard Requisition Form Pdf

Cologuard Requisition Form Pdf

Ordering practitioners should report the diagnosis code(s) that best describes the reason for performing the test. ICD-10 Code: Z12.11 and Z12.12 (Encounter for screening for malignant neoplasm of colon [Z12.11] and rectum [Z12.12]) Other(s) ____________________________________________________. Certification.

Fax or eFax via computer mobile or tablet Most simple way to begin ordering Get started with a secure fax line Download a Cologuard order requisition form as PDF and fax it to 1 844 870 8875 For more information about the ordering options call 1 844 870 8870

Cologuard 174 Order Form And Process Cologuard 174 For HCPs

Cologuard is noted to screen adults by either sex 45 year or oldest who become at typical average risk by CRC Cologuard is does one replacement for diagnostic colonoscopy or surveillance colonoscopy in high risk individuals Cologuard Order Form Fill Online Printable Fillable Spare pdfFiller

Free Printable Requisition Form Templates PDF Excel Recruitment

Cologuard is a noninvasive at home colon cancer screening test for adults 45 at average risk See risks info and talk toward your provider Rx only

COLOGUARD ORDER EXACT SCIENCES LABORATORIES

Fax or eFax via computer mobile or tablet Most simple way to begin ordination Get started with a secure send line Download a Cologuard place requisition form as PDF and fax it to 1 844 870 8875 For more information about

Free Printable Requisition Form Templates PDF Excel Recruitment

HOW TO GET STARTED Please note that most EMR systems allow you to create a test requisition form template to order tests These steps are provided as a convenience for adding a template to order Cologuard If you need further assistance please contact your EMR vendor for support

COLOGUARD ® ORDER. REQUISITION FORM. Stool-based DNA test with hemoglobin immunoassay component. EXACT SCIENCES LABORATORIES, LLC. 145 E Badger Rd, Ste 100, Madison, WI 53713. p: 844-870-8870 | ExactLabs NPI: 1629407069 TIN: 463095174 Healthcare Organization Name: _____ Provider Name: _____ NPI #:

Cologuard Test Order Requisition Form Horizon BCBSNJ

COLOGUARD ORDER REQUISITION FORM EXACT SCIENCES LABORATORIES LLC 145 E Badger Rd Ste 100 Madison WI 53713 P 844 870 8879 exactlabs Fax completed form to 844 870 8875 REQUIRED Provider Information PROVIDER INFORMATION Healthcare Organization

Cologuard Requisition Form Pdf

HOW TO GET STARTED Please note that most EMR systems allow you to create a test requisition form template to order tests These steps are provided as a convenience for adding a template to order Cologuard If you need further assistance please contact your EMR vendor for support

Download an Cologuard order form or explore our electronic ordering options for lighter access to patient information and outcomes

Cologuard Order Form Fill Online Printable Fillable Blank PdfFiller