Step by step: Order form

It is important to complete the order form in full in order to ensure that the specimens are assigned accurately and enable them to be processed rapidly. Please find below detailed information about the individual points, following the numbering as it appears on the order form.

1
2
3
4
5
micro-IDent order form
1

Enter the patient and practice data

2

Specify test format

3

Information about the specimen

4

Invoicing

5

Supplementary information about the patient

1. Practice and patient data

Enter the patient and practice data in the field provided, making sure it is clearly legible.

2. Specify test format

With a cross, choose between testing for 5 marker bacteria with micro-IDent® and 11 marker bacteria with micro-IDent®plus.

3. Information about the specimen

Enter the date on which the specimen was taken, the patient’s maximum pocket depth and the sampling sites.

4. Invoicing

For invoicing, the payment form must be completed in full and signed.

5. Supplementary information about the patient

Here, you have the option of entering information regarding the patient’s smoker status and any hypersensitivities to antibiotics. For further remarks, please use the “Comments” field.