Get Instructions For The Physician Results Report Form - Pebtf - Pebtf

Filling out the Instructions For The Physician Results Report Form is an essential step in submitting your wellness screening results to Quest Diagnostics. This guide will help you navigate the process clearly and effectively.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Fill out the 'Participant Information' section. This includes providing your full name, Social Security number, date of birth, phone number, and address. Make sure all information is accurate and complete.
3. Sign the form in the 'Wellness Participant Signature' field and date it to confirm that the information provided is correct.
4. Provide the 'Date of Test' which must be after January 1, 2015, along with required biometric measurements such as height, weight, blood pressure, glucose, and cholesterol levels.
5. Ensure that your physician completes their section, which includes their signature, printed name, and required identification numbers. This must be done to validate your results.
6. After the form is completed, fax it to the confidential Quest Diagnostics fax number provided on the form. It is advisable to keep a copy of the fax confirmation statement for your records.
7. Allow approximately two weeks for your data to be entered into the Blueprint for Wellness site, after which you can view your results online.

Start completing your Physician Results Report Form online today to ensure your wellness screening results are submitted timely.