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How do I fill this out?
Filling out the requisition for the Trio-Smart Breath Test is straightforward. Ensure you have the kit's guidance on hand to aid in completing your information accurately. Follow the steps outlined in the kit to ensure proper submission.

How to fill out the Trio-Smart Breath Test Instructions and Overview?
1
Receive the test kit in the mail.
2
Complete the pre-populated requisition form.
3
Make sure your practitioner prescribed lactulose.
4
Review dietary restrictions and follow preparation guidelines.
5
Ship the completed kit back to the lab.
Who needs the Trio-Smart Breath Test Instructions and Overview?
1
Patients experiencing gastrointestinal symptoms.
2
Healthcare practitioners requiring patient test results.
3
Researchers interested in gastroenterological studies.
4
Dietitians advising on dietary interventions.
5
Pharmacies dispensing the lactulose prescription.
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1
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Select the Edit option available in the menu.
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What are the instructions for submitting this form?
To submit your form, ensure you have filled out all sections completely. Send your completed kit and requisition form to the lab using the prepaid shipping label. For any further inquiries or submission methods, contact your healthcare provider directly.
What are the important dates for this form in 2024 and 2025?
Important dates for the test kit submission align with your healthcare provider's schedules for 2024 and 2025. Be sure to consult with your practitioner regarding testing timelines and health consultations. Regular updates may affect test availability.

What is the purpose of this form?
This form serves to detail the instructions necessary for conducting the Trio-Smart Breath Test accurately. It ensures that patients have clear guidance on what to do before, during, and after the testing process. Furthermore, it helps practitioners to facilitate the required procedures for patient testing.

Tell me about this form and its components and fields line-by-line.

- 1. Patient Name: The full name of the patient taking the test.
- 2. Date of Birth: Patient's birth date for identification.
- 3. Practitioner Name: The name of the healthcare provider prescribing the test.
- 4. Requisition Date: The date the requisition form is completed.
- 5. Contact Information: Patient's contact details for follow-up.
What happens if I fail to submit this form?
If the form is not submitted, testing cannot proceed, leading to delays in diagnosis and treatment. It's essential to ensure that all sections are filled accurately to prevent rejections or further inquiries.
- Testing Delays: Failure to submit may push back necessary testing and diagnoses.
- Incomplete Information: Missing data can lead to complications in diagnosis.
- Miscommunication: Incorrect submission may require additional communication with providers.
How do I know when to use this form?

- 1. Before Testing: Complete this form to confirm readiness for the test.
- 2. During Consultation: Utilize this form when discussing testing needs with your healthcare provider.
- 3. For Lab Submission: Provide this form alongside the test kit when returning it to the lab.
Frequently Asked Questions
How can I edit this PDF?
You can edit this PDF by uploading it to PrintFriendly and using the editing tools available.
What should I do if I have questions about the test?
Refer to the contact information included in the test kit for direct inquiries.
Is the test kit shipped to my home?
Yes, the test kit is mailed to your address within 5 to 7 business days after ordering.
When will I receive the test results?
You can expect to receive results within 5 to 10 days after the lab receives your sample.
How do I return the test kit?
Return the test kit using the provided shipping label, making sure it is sent from outside New York if applicable.
Can I share this document online?
Yes, you can use our sharing features to disseminate the PDF via email or social media.
Are there specific diet restrictions?
Yes, specific dietary guidelines are outlined in the test preparation section.
What if I forget to fill out the requisition form?
You'll need to contact your practitioner for guidance on resubmitting the requisition.
Is there a way to sign this PDF?
You can add your signature electronically using our signing feature on PrintFriendly.
How can I download the edited PDF?
After editing, simply click the download button to save your changes.
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