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Transrectal Requisition Form

To download:

Scroll to the bottom of the document and click on the download button on the left hand side.

Your physician’s office will make the appointment for you, but you are required to bring this requisition form with you. Click on the link below to download this form, print it and fill it in, before your appointment.

PDF
nameUS TRUS Requisition March 2016.pdf

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