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  • Parrish Medical Center Direct Access Testing Form

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(DATPROG) Prothrombin Time (DATPT) Prothrombin Time by fingerstick (DATPTW) PSA (DATPSAS) Strep Screen (DATBSTR) T3 (DATT3) T4, Free (DATFRT4) (DATTEST) Thyroid Profile (DATTHYR) Thyroid Stimulating Hormone (DATTSH) Urinalysis (DATUA) Vitamin D, 25-OH (DATVITD) $20 $15 $15 $10 $10 $20 $15 $20 $10 $10 $15 $35 Revised April 2014 LIS.dat.001.c ABO/Rh Blood Type: Blood group and type performed. Vitamin B12: Helps in the diagnosis of anemia or nerve damage and in the evaluation of n.

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How to fill out the Parrish Medical Center Direct Access Testing Form online

Filling out the Parrish Medical Center Direct Access Testing Form online is a straightforward process designed to facilitate your access to various diagnostic tests. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the form.

  1. Press the ‘Get Form’ button to retrieve the online version of the Direct Access Testing Form and open it for editing.
  2. Provide your full name, date of birth, and address in the designated fields. Ensure all information is accurate to avoid any delays in processing.
  3. Indicate your gender by selecting either 'Male' or 'Female.' This information is important for the laboratory records.
  4. Review the list of available tests and select the desired test(s) by marking the corresponding checkbox. Be aware of any prerequisites, such as fasting requirements, for specific tests.
  5. Read and understand the consent statement regarding the laboratory diagnostic procedures. Your signature is required to acknowledge this consent.
  6. If you are under 18 years of age, ensure that a parent or guardian signs the form and notes their relationship in the designated area.
  7. Once all fields are completed, check the information for accuracy to ensure no errors are present.
  8. Save your changes, and then you may choose to download, print, or share the completed form as needed.

Complete your Direct Access Testing Form online today for a seamless experience.

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In 2002, PMC transformed healthcare delivery within the community and worldwide with the opening of its 371,000-square-foot, five-story replacement hospital.

For general questions please email communications@parrishmed.com. For anyone needing assistance with the patient portals email: HealthInformation@parrishmed.com. For any medical record related requests email: ROI@parrishmed.com.

Parrish Medical Center | Hospital in Titusville, FL.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232