Get Cancertype Id Test Request Form

This guide provides clear and comprehensive instructions on how to fill out the CancerTYPE ID Test Request Form online. Following these steps carefully will help ensure that all required information is provided accurately and completely, which is essential for timely processing of the test.

Follow the steps to complete the CancerTYPE ID Test Request Form online:

1. Click ‘Get Form’ button to obtain the form and open it in your editing interface.
2. Begin by providing patient and sample information in Section A. Ensure to fill out all compulsory fields marked with an asterisk (*) accurately, including the patient's first name, last name, date of birth, and gender.
3. Include at least three unique patient identifiers, such as the patient ID number and hospital number, to avoid delays.
4. Specify the pathology report number, the date of biopsy, and the site of the biopsy. If you used a specific biopsy collection procedure or fixative, indicate those details as well.
5. Provide the clinical diagnosis in the allocated space, ensuring it reflects the current condition accurately.
6. Move to Section B to input requesting physician information. Fill in all required fields, including the physician's name, clinic or hospital, address, and contact details.
7. In the same section, the physician should indicate their preferred method for reporting results by checking either email, post, or fax.
8. Sign and date the form at the designated spaces. This confirms the authenticity of the request.
9. Proceed to Section C, where the pathology laboratory information is needed. Complete all required fields to ensure seamless communication.
10. Once all sections of the form have been filled out diligently, save the changes made to the document, and prepare for submission.
11. Finally, you can download, print, or share the completed form via fax or email to Lab21 as specified.

Complete the CancerTYPE ID Test Request Form online to ensure timely processing of your test.