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  • Cea Requisition Form - Cml Healthcare

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CEA REQUISITION FORM PATIENT NAME: DATE OF BIRTH: (DD/MM/YR) SEX: ONTARIO HEALTH INSURANCE NUMBER: REASON FOR ORDERING CEA ASSAY (Do not repeat more often than every.

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How to fill out the CEA Requisition Form - CML HealthCare online

Filling out the CEA Requisition Form is an essential step in facilitating proper patient care and monitoring. This guide provides comprehensive instructions on how to complete the form accurately and efficiently online.

Follow the steps to successfully complete the CEA requisition form online:

  1. Press the ‘Get Form’ button to access the CEA Requisition Form and open it in your editor.
  2. Enter the patient name in the designated field. Ensure that the name matches the identification documents.
  3. In the date of birth field, input the patient’s date of birth in the format of DD/MM/YR.
  4. Select the patient's sex from the appropriate options provided.
  5. Fill in the Ontario Health Insurance Number in the specified section.
  6. Indicate the reason for ordering the CEA assay by checking the relevant box. Options include metastatic breast cancer, colorectal cancer treatments, pre-operative assessments, or the willingness to pay for the test.
  7. Ensure that the clinician's signature, printed name, and telephone number are entered in the designated fields.
  8. Enter the date of filling out the requisition form in the appropriate section.
  9. Review all the entered information for accuracy and completeness.
  10. Save your changes, and then download, print, or share the form as needed.

Complete your CEA requisition form online today for streamlined patient care.

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PLEASE NOTE: CEA Assays are funded by Ontario Cancer Treatment and Research Foundation (OCTRF) for those patients who meet the above criteria only. Patient does not fit the above criteria but is willing to pay the fee of $35 for this test.

The carcinoembryonic antigen test (CEA) L690 is an insured service only when carried out in ance with Cancer Care Ontario guidelines for following established malignancies, and not as a general cancer screen.

Because many types of cancer and several noncancerous conditions may cause high CEA levels, CEA tests aren't an accurate way to detect a specific form of cancer or determine whether the patient has cancer. Rather, they're used to monitor progress of certain treatments.

Specification Test TypeCEA CarcinoIncludesCEA Carcino Test (Gastroenterologist)PreparationReportingWithin 24 hours*Test Price₹ 500 ₹ 1000

There's no magic number or threshold for a CEA test that points to cancer. Healthcare providers don't use the CEA test to screen for or diagnose cancer. In general, a CEA level of more than 2.9 ng/mL is considered abnormal but doesn't necessarily mean that cancer is present.

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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
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