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Get Ohsu Kdl Exome Requisition For Proband
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How to fill out the OHSU KDL Exome Requisition For Proband online
Filling out the OHSU KDL Exome Requisition For Proband is a crucial step for initiating genetic testing. This guide provides you with clear instructions on how to complete the form accurately and efficiently online, ensuring that all necessary information is provided.
Follow the steps to complete your requisition form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling out the patient information section, which includes the full name, date of birth, mailing address, phone number, and insurance details if applicable. Ensure accuracy in the ID/MRN # and relevant contact numbers.
- Complete the ordering physician information. This section requires the physician's full name, contact details, and signature. Be sure to include their NPI number and facility information.
- Select the billing information option that best applies—either self-pay or insurance billing. If using insurance, ensure to attach a copy of the insurance card or a billing face sheet.
- Provide the specimen type, source, and the date and time of specimen collection. It is important to include the ICD-10 code, as it is required for processing.
- Further sections include the clinical and phenotypic history. Clearly state any relevant clinical details and family history that could assist in interpretation of the results.
- For the consent form, ensure that the person providing consent understands the implications of testing. Read through and check the appropriate options for which results to be reported.
- Review all sections for completeness and accuracy. After ensuring all required fields are filled, you can save changes, download the completed form, print it, or share it as needed.
Complete your OHSU KDL Exome Requisition For Proband online now to initiate your genetic testing process.
Whole exome sequencing analysis includes data processing, variant calling, annotation, and clinical interpretation. These steps ensure that the sequencing results are analyzed thoroughly and provide actionable insights. Utilizing the OHSU KDL Exome Requisition For Proband facilitates a clear pathway to understanding the genetic data.
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