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Get Cea Requisition Form - Cml Healthcare
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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:
- Press the ‘Get Form’ button to access the CEA Requisition Form and open it in your editor.
- Enter the patient name in the designated field. Ensure that the name matches the identification documents.
- In the date of birth field, input the patient’s date of birth in the format of DD/MM/YR.
- Select the patient's sex from the appropriate options provided.
- Fill in the Ontario Health Insurance Number in the specified section.
- 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.
- Ensure that the clinician's signature, printed name, and telephone number are entered in the designated fields.
- Enter the date of filling out the requisition form in the appropriate section.
- Review all the entered information for accuracy and completeness.
- Save your changes, and then download, print, or share the form as needed.
Complete your CEA requisition form online today for streamlined patient care.
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.
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