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Webauthorized to order Cologuard. I acknowledge that the test is medically ... COLOGUARD® ORDER REQUISITION FORM For Laboratory Use Only Sample Collected: _____ Sample Received: _____ Fax completed form to 844.870.8875 ame as Shipping. Title: PDF document created by PDFfiller Created Date: 11/21/2016 7:54:43 PM ... WebAboutscreening. Cologuard is intended to screen adults 45 years of age and older who are at average risk for colorectal cancer by detecting certain DNA markers and blood in the stool. Do not use if you have had adenomas, have inflammatory bowel disease and certain hereditary syndromes, or a personal or family history of colorectal cancer. WebCOLOGUARD ® ORDER REQUISITION FORM. EXACT SCIENCES LABORATORIES, LLC . 145 E. Badger Rd, Ste 100, Madison, WI 53713 P: 844-870-8879 … graduate schools offer deferrance