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Our Script Pad (Testing Requisition) is a form that will download after you click on the Testing Requisition button below is a "fillable" .PDF file that cannot be submitted electronically from this Web site. ●NOTE: After you click on and try to type into the first fillable data entry field, there will be a delay of 30 seconds until Adobe Reader displays a message box - close the message box and you can proceed to enter data. For accuracy and efficiency, you may use your computer to type necessary information and your mouse to check all required check boxes before you print it out this form. Then add a doctor's signature, and FAX the completed form to our office at (610) 929-0859 . Please continue reading this page.
Our new "fillable" forms saves time for both you and our office staff, and offers far higher accuracy in capturing your information correctly.
After you have downloaded the forms and are viewing the forms on your computer monitor, if data entry fields where you can type necessary information are not highlighted, there may be a small check box in the upper right hand corner of the form's window with the words Highlight fields that you can click to cause the data entry fields to become highlighted. _____________________________________________________________________________
Because this is a .PDF file, you will need to have the FREE Adobe Reader installed on your computer.
*If you don't have the FREE Adobe Acrobat Reader installed, first CLICK the Get Adobe Reader® stamp below:
With Adobe Reader installed, you're now ready, so click the button below and begin downloading!
Thank you for helping us achieve the highest possible accuracy in our patient information system.
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