Get Place Accession Label Here

Filling out the PLACE ACCESSION LABEL HERE form is essential for effective communication in surgical pathology and cytology laboratories. This guide offers clear, step-by-step instructions to ensure that you accurately complete the form online, making the process simple and efficient.

Follow the steps to fill out the form correctly

1. Click the ‘Get Form’ button to access the form and open it in your online editor.
2. Enter the ordering provider's name by filling in the last name and first name in the designated fields.
3. Enter the requisition number and the NPI number in the appropriate fields for lab use only.
4. Provide the practice name and address, including phone and fax numbers.
5. Fill in the patient’s full name, date of birth, and medical record number or unique identifier. Indicate the sex of the patient.
6. Attach a copy of the front and back of the insurance card if applicable. Select the type of insurance coverage the patient has.
7. Complete the billing information section and ensure that the responsible party's name, address, and contact information are clear.
8. Indicate the specimen collection date and carefully provide details about the specimen type and source.
9. Document any clinical data or impressions relevant to the requested tests, emphasizing the medical necessity evidenced by ICD9 codes.
10. If ordering specific cytology tests, ensure that each specimen is documented accurately, and check all necessary boxes relevant to Medicare or healthcare patients.
11. Review all entries for accuracy. After verification, proceed to save the changes, download, print, or share the completed form as needed.

Begin the process of filling out the PLACE ACCESSION LABEL HERE online today for seamless document management.