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            Kansas DCF Requisition

            Created by Joel Bissonnette, Modified on Fri, 21 Nov, 2025 at 3:48 PM by Joel Bissonnette

            Kansas DCF Referral Notes

            1. Upload Name, DOB, Gender
            2. FACTS Client ID goes in Patient ID 2
            3. FACTS Case # goes in Patient ID 3
            4. If Authorized for DCF Payment is checked off, please list this in Collection Notes
            5. Testing order = Panel
            6. Frequency Group = what is indicated next to Testing Frequency
            7. Case Manager is who is listed under Authorization Signature
            8. Attach Referral

            Attachments (1)

            pdf

            DCF Requisition for Lab Testing - P F.pdf
            2.94 MB

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