Completing the Requisition in 11 Easy Steps - Standard Requisition * All ordered tests must be medically necessary
Completing the Requisition in 11 Easy Steps - Custom Requisition * All ordered tests must be medically necessary
1. Select BILL TO 2. Print Patient Information 3. Select Provider 4. Print insurance and billing information and include any applicable documents 5. Print Collector Name and Collection Date 6. Select Diagnosis Codes 7. Obtain Patient Signature 8. Test Results and Order Confirmations as either: • All POS or • Individual Tests c. Order Standard Oral Fluid or Urine Screening Panel a. Select Desired Tests b. Record ALL in Office
1. Select BILL TO 2. Print Patient Information 3. Select Provider 4. Print insurance and billing information and include any applicable documents 5. Print Collector Name and Collection Date 6. Select Diagnosis Codes 7. Obtain Patient Signature 8. Test Results and Order Confirmations as either: • All POS or • Individual Tests c. Order Standard Oral Fluid or Urine Screening Panel a. Select Desired Tests b. Record ALL in Office
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( ) Dr. John Pain ( ) Dr. Jane Best
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( ) Dr. John Pain ( ) Dr. Jane Best
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Remember: Enter Last Consumption Date and note PRN, if applicable
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8a
9b
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8b
8a
Remember: Select SCREEN or DIRECTED based on Medical Necessity
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8b
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Remember: Enter Last Consumption Date and note PRN, if applicable
a. Select Prescribed Medications b. Check Confirm
a. Select Prescribed Medications b. Check Confirm
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9b
Prescribed Medications, if applicable
Prescribed Medications, if applicable
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10. Obtain Physician
10. Obtain Physician
Signature, if needed 11. Write date of collection
Signature, if needed 11. Write date of collection
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on specimen bottle seal and apply to specimen collection device
on specimen bottle seal and apply to specimen collection device
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DON’T FORGET TO ATTACH SPECIMEN BOTTLE SEAL
DON’T FORGET TO ATTACH SPECIMEN BOTTLE SEAL
6 800.235.4890 | drugscan.com | customerservice @ DRUGSCAN.com
800.235.4890 | drugscan.com | customerservice @ DRUGSCAN.com
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