Get G-2a Specimen Submission Form's Instructions - Tarrant County

Filling out the G-2A Specimen Submission Form correctly is essential for the accurate processing of specimens in Tarrant County. This guide provides clear, step-by-step instructions to ensure that users can complete the form online with confidence.

Follow the steps to successfully fill out the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter complete submitter information including submitter name, address, city, state, and zip code. Make sure to use clear printing or pre-printed labels.
3. Provide the contact information of the person to reach at the submitting facility for any necessary follow-up from the laboratory.
4. Fill in all required patient information including last name, first name, address, date of birth, and necessary medical history fields like race and diagnosis symptoms.
5. Indicate the date and time of specimen collection. This is crucial to prevent rejection of the specimen.
6. Complete the physician information section, including the physician's name and unique identification number, which is necessary for billing purposes.
7. Choose the appropriate payor source for billing. Mark the required information if using Medicaid, Medicare, or private insurance, ensuring all necessary documents are included.
8. Specify the test requested from the laboratory. Each type of test may require a separate form and specimen, so be sure to check the special instructions related to the test.
9. Indicate the specimen source or type clearly to ensure proper processing and identification.
10. Review the completed form for accuracy, save changes, download, print, or share the form as needed.

Complete your documents online to ensure efficient processing and submission.