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Get Igenexinc Form
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How to fill out the Igenexinc Form online
Filling out the Igenexinc Form online can streamline the testing process for Lyme disease. This guide will provide you with clear and concise instructions to ensure that you complete the form accurately and efficiently.
Follow the steps to successfully fill out the Igenexinc Form online.
- Click ‘Get Form’ button to download the necessary form and open it for editing.
- Begin by filling in your last name, first name, and middle initial in the designated fields.
- Next, enter your street address, city, state, and zip code in the corresponding boxes.
- Provide your daytime and evening phone numbers along with your date of birth.
- Select your gender by checking the appropriate box.
- Input your social security number in the specified section.
- Ensure that you provide a signature in the patient signature section, confirming your understanding of the testing fees and payment responsibilities.
- If applicable, indicate how you would like to be billed (e.g., prepayment by credit card, statement sent to you for submission to your health provider, etc.).
- For Medicare patients, make sure to include your Medicare number and signature if required.
- Choose the tests you wish to request by checking the relevant boxes for direct detection, antibody assays, and any additional tests.
- Carry out the necessary actions according to the selected sample types, including indicating the number of samples sent and their respective collection dates.
- Review all information entered for accuracy before proceeding to save, download, print, or share the completed form.
Complete the Igenexinc Form online to ensure a smooth testing process.
To get an IGeneX test, start by visiting their official website. You will find detailed instructions on how to fill out the IGeneXinc Form, which is essential for initiating the testing process. After completing the form, follow the guidelines for collecting and submitting your sample, ensuring you provide all necessary information.
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