Cologuard Requisition Form

Cologuard Requisition Form - 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

Download a Cologuard order form or explore my electronic ordering options by easy access the patient information plus results

Cologuard Requisition Form

Cologuard Requisition Form

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. Healthcare Organization: _____ Provider Name: _____ NPI #: Test Name: Cologuard. Test Description: Stool-based …

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

You can request a Cologuard test by talking directly to your healthcare provider or by getting a kit online through a telehealth provider For adults 45 at avg risk Rx only See risk info

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Load a Cologuard order form or explore our electronic ordering options for easy access to patient product and results

COLOGUARD ORDER EXACT SCIENCES LABORATORIES LLC

Certification 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 maintain the privacy of test results and related information as required by HIPAA

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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 EXACT SCIENCES LABORATORIES

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 Requisition Form

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 a Cologuard order form or explore my electronic ordering options by easy access the patient information plus results

Cologuard Order Form Fill Out And Sign Printable PDF Template SignNow