Get Ohsu Kdl Molecular Oncology - Solid Tumor Test Requisition

This guide provides a clear and comprehensive overview of how to complete the OHSU KDL Molecular Oncology - Solid Tumor Test Requisition online. With step-by-step instructions, users can confidently navigate through the form and ensure all necessary information is entered correctly.

Follow the steps to successfully complete the test requisition.

1. Click the ‘Get Form’ button to access the test requisition form and open it in your preferred editing platform.
2. Begin by entering the patient information section. Fill in the patient's full name, street address, city, state, zip code, phone number, and fax number. Ensure to include the patient's ID or medical record number, date of birth, and sex.
3. Next, provide the ordering physician information. Input the physician’s full name, national provider identifier (NPI), office or facility name, address, city, state, zip code, phone number, and any additional notes if necessary.
4. In the billing information section, specify whether the patient is self-paying or if you will bill insurance. If billing insurance, attach a copy of the insurance card or billing face sheet. Fill in the primary and secondary insurance details along with the relation to the insured.
5. Select the molecular consultation option if applicable, documenting any assays chosen by the expert molecular pathologist, ensuring clarity regarding tests prioritized and billed.
6. Review all information entered to confirm accuracy, as this will be critical for processing the requisition. Make necessary adjustments if needed.
7. Finally, save any changes made to the form. You can download, print, or share the completed requisition as needed for submission.

Complete the OHSU KDL Molecular Oncology - Solid Tumor Test Requisition online today to ensure timely processing.