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For your convenience, Athena Diagnostics offers our Test Requisition Forms online.
 

 These documents require Adobe Acrobat Reader  

Open a PKDX™ requisition:

   PKD Requisition Form
Complete this requisition when Athena will bill either a patient's Commercial Insurance, or for self-pay patients.
 
   PKD Medicare/Medicaid Requisition
Complete this requisition form if you are ordering testing for a patient that has Medicare or Medicaid.
 
Open a requisition for all other Renal Disease Testing Services
(please enter the test code and name on the requisition)
   Test Requisition Form

For prepaid shipping materials, you can either email us to have kits sent to you, or you may wish to check with your institution's sendout laboratory, which is likely to have a supply of our shipping materials on hand.

 



PKDX PKDx

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