Get Mm 2013 033 Direct Account Trf Rev7.indd - Viracor-ibt ...

Filling out the MM 2013 033 Direct Account TRF REV7 form online can streamline the process of submitting your account and specimen information. This guide provides clear, step-by-step instructions to help users complete the form efficiently and accurately.

Follow the steps to fill out the form online.

1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Begin by filling in the billing information section. Input the account name, contact name, account number, and phone number. Ensure that all information is accurate to avoid processing delays.
3. Provide your address details in the designated fields, including address line 1, address line 2 (if applicable), city, state, and zip code.
4. Fill out the patient information section. Include the patient's name formatted as last name, first name, and middle initial. Document the phone number, birthdate, and medical record number (MRN).
5. Indicate the type of specimen collected by checking the appropriate box. Specify the date and time of collection, and ensure to label whether it's collected in AM or PM.
6. Proceed to the ordering physician section. Enter the physician's name, address, and contact information as necessary.
7. Complete the testing section by selecting any infectious disease tests or panels required. Review the list carefully to ensure that all needed tests are selected.
8. Once all sections are completed, review the information for accuracy. Make necessary corrections if needed.
9. When satisfied with the form, you can choose to save your changes, download the completed form, print it out for physical submission, or share it with relevant parties.

Start completing your documents online today for efficient processing!