Get Wa Phenopath Requisition 0002 2020-2025

This guide provides detailed instructions for filling out the WA PhenoPath Requisition 0002 online. By following these steps, users can ensure that all required information is accurately provided, facilitating a smoother requisition process.

Follow the steps to successfully complete the requisition form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the specimen information section, including the facility where the specimen was collected, the collection date and time, and whether multiple specimens are submitted.
3. In the requesting entity section, provide your name and address. Include your contact information to ensure PhenoPath can reach you if needed.
4. Complete the patient information section by including the patient's name, date of birth, and contact details, ensuring that all information is accurate for billing and medical necessity.
5. Fill in the billing information based on who will be billed. Include necessary details such as the insurance information, or specify if the patient or requesting entity will be billed.
6. Provide information about the treating physician and a contact person for follow-up questions, ensuring that all fields are filled accurately.
7. In the clinical history and consultation section, outline the tests requested and any differential diagnoses considered. Clearly indicate if additional testing is warranted.
8. Review all provided information for accuracy before finalizing the document. Once completed, users can save changes, download, print, or share the form.

Complete your requisition online today!