Get Myprs Myeloma Prognostic Risk Signature

The MyPRS Myeloma Prognostic Risk Signature is a crucial tool for assessing and managing myeloma. This guide provides clear, step-by-step instructions to help users complete the online form accurately and efficiently.

Follow the steps to successfully complete the MyPRS form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the patient information section, including the last name, first name, date of birth, sex, middle initial, and medical record number.
3. Complete the client information, which includes the office or facility name and the ordering physician's name.
4. In the MyPRS test information section, indicate whether the patient has received chemotherapy by selecting yes or no and specifying the treatment status such as pre-therapy, post-therapy, pre-transplant, post-transplant, in remission, or relapse.
5. If applicable, note that the biopsy should be performed Monday through Thursday only and that the first aspirate draw must be placed in a purple top EDTA tube.
6. Indicate if the MyPRS test has been previously performed by selecting yes or no, and if yes, fill in the number of prior tests performed.
7. Record whether the patient has had a bone marrow transplant and, if applicable, provide the date of the transplant.
8. Specify if MyPRS testing is being ordered in preparation for a transplant by selecting yes or no.
9. Under the comprehensive diagnosis and MyPRS section, ensure you include the required specimen information, noted as 3-5 ml of aspirate in suitable tubes (EDTA and Sodium ).
10. Affirm that the MyPRS test is medically necessary by signing the section labeled 'Physician/Authorized Signature,' and include the date of signing.
11. After completing the form, save the changes, and utilize options to download, print, or share the document as needed.

Complete the MyPRS Myeloma Prognostic Risk Signature online today to aid in patient care.