Get Ohsu Kdl Prenatal Molecular Genetics Test Requisition
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How to fill out the OHSU KDL Prenatal Molecular Genetics Test Requisition online
Completing the OHSU KDL Prenatal Molecular Genetics Test Requisition online is an essential step for ordering prenatal genetic testing. This guide provides clear, step-by-step instructions to help users navigate the requisition process effectively.
Follow the steps to complete the requisition form successfully.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling in the patient information section. Enter the patient's full name, street address, city, state, zip code, phone number, fax number, and ID/MRN number. Make sure to include the date of birth, selecting 'Female' or 'Male' as applicable.
- Provide the ordering physician's information. Fill in the physician’s full name, National Provider Identifier (NPI), office or facility name, address, city, state, zip code, phone number, and account number. Include the physician's signature and the date.
- In the billing information section, select one billing method: either 'Self Pay' or 'Bill Insurance'. If billing insurance, enter the primary insurance name, policy number, group number, and relation to insured person. If there is a secondary insurance, fill in the relevant details too.
- Next, fill in clinical information by selecting the specimen type and providing the date and time of specimen collection. Additionally, include the required ICD-10 code and relation to insured person.
- Complete the family history/pedigree section by selecting ethnicity and any known familial mutations. Indicate whether testing is indicated and detail any known familial mutations if applicable.
- Select the indication for testing and specify the patient status (e.g., carrier testing, prenatal testing). Provide the name of the gene and additional variants to be tested as needed.
- For molecular diagnostic tests, refer to the specific tests available, input the relevant test codes, and any other necessary information.
Complete your OHSU KDL Prenatal Molecular Genetics Test Requisition online today.
To perform molecular genetic testing, you typically need a sample from the individual being tested, like blood or saliva. The OHSU KDL Prenatal Molecular Genetics Test Requisition guides the collection and submission processes. After submitting the sample to a certified laboratory, results are analyzed and reported back to the healthcare provider. Following up with your physician after receiving results can help you understand your options moving forward.