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Are all the questions on the requisition form required to complete the test?

COMPLETE form Requisition Test
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Are all the questions on the requisition form required to complete the test?

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No. All of the information is not required; however, answering the questions honestly and completely is recommended to help us and your physician better serve you. The required fields are: • Physician signature • Collection site information including date and time of collection • Dates • Patient signature for informed consent and release • Insurance information, if applicable • Credit card information, if applicable • Question 5 in the Clinical History section, “Have you ever been diagnosed with any type of cancer?” Oncimmune encourages patients to fill out all Patient Clinical Data thoroughly, as this information could aid your physician.

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