Get Tp-00056-f1 Rev 90 Harmony Test Requisition Form - Tomalab

Filling out the TP-00056-F1 Rev 90 Harmony Test Requisition Form - Tomalab online is a straightforward process. This guide will provide you with clear and concise instructions on how to complete each section of the form effectively.

Follow the steps to successfully complete the Harmony Test Requisition Form.

1. Click the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Begin by placing the barcode label for the patient sample in the designated area at the top of the form. Ensure it is clearly visible.
3. Fill in the patient information section. This includes the patient's full name, surname, medical account number, and contact details such as address, city, state/province, country, and zip code.
4. Specify the patient's sex by checking either the female or male box. Record the patient's weight in kilograms and height in centimeters.
5. Proceed to the physician's information section where you will enter the name and contact information of the ordering doctor.
6. Include consent information. The patient must sign to indicate understanding and agreement with the information provided and the implications of the test.
7. Fill out the test information section. Indicate details about the Harmony Prenatal Test selected and relevant clinical indications.
8. Provide the necessary billing information, selecting either clinical billing or patient billing as applicable.
9. Once all fields are complete, ensure to review your entries for accuracy.
10. After confirming the information is correct, save your changes, and then download, print, or share the completed form as necessary.

Start filling out the TP-00056-F1 Rev 90 Harmony Test Requisition Form online today.