Get Veracyte Portal New User Setup Form - Afirma

Completing the Veracyte Portal New User Setup Form - Afirma is an important step for practice integration into the Veracyte system. This guide provides clear, step-by-step instructions to assist you in filling out the form accurately online.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it for filling.
2. Begin with section 1, 'Practice.' Here, provide the primary practice name and its location, which are both required fields. If there are additional practices, fill in those details in the subsequent fields.
3. Proceed to section 2, 'Physician.' Enter the physician's name and email as required. Select the appropriate option for email notifications, i.e., 'self', 'staff', or 'none.' If 'staff' is selected, ensure to list one designated staff member's name and email address in the space provided.
4. Continue to section 3, 'Additional Users.' List any authorized personnel who need access to the Veracyte Portal. Each entry must include their name, email address, and title, all of which are required fields.
5. In section 4, 'Physician Signature,' the physician must print their name, date the form, and provide their signature to certify that all individuals listed are authorized for portal access.
6. Review all entries for accuracy. Once verified, you can save changes, download a copy for your records, print it, or share the completed form as needed. Finally, fax the completed form to the specified number.

Start completing your documents online today for seamless integration.