Get Litholink Llk0001 2017-2025

Completing the Litholink LLK0001 online is an essential step for obtaining necessary kidney stone testing. This guide offers detailed instructions to help you effortlessly navigate each section of the form.

Follow the steps to successfully fill out the Litholink LLK0001 form

1. Press the ‘Get Form’ button to access the Litholink LLK0001 form and open it in your preferred online editor.
2. Enter the date of birth of the patient in the designated field. This information is critical for proper identification.
3. Fill in the physician’s last name and first name accurately in the physician information section.
4. Complete the patient information section by entering the patient’s last name, first name, and gender (M/F).
5. Input the last four digits of the patient’s Social Security Number (SSN) to ensure proper record-keeping.
6. Enter the Medical Record Number (MRN) as it will be displayed on the final report.
7. Provide an optional email address for communication regarding test results.
8. Fill in the physician’s street address, city, state, and zip code to ensure correspondence is directed properly.
9. Enter the office or physician phone number for any follow-up communications.
10. Have the physician or authorized individual sign the form in the designated signature area.
11. Make sure to complete all information regarding the patient and physician to avoid delays.
12. Select the appropriate diagnosis from the checklist, including 'N20.0 Kidney Stones' if applicable, or note other diagnoses.
13. Choose the urine test panel needed, ensuring only one panel is selected to proceed efficiently with testing.
14. For the serum/blood collection section, indicate the location where the test will be performed and include a selection from the options provided.
15. Decide on the shipping preference for the At-Home Kit and provide the shipping address if needed.
16. Once all fields are completed, review the form carefully before saving changes, downloading, printing, or sharing as necessary.

Complete your testing documentation online today for a seamless experience!