\r\n Your patient may submit this information prior to their next appointment.\r\n
\r\n\r\n \r\n Note: We will send them occasional reminders to complete this information. There's no need for you to follow-up with them.\r\n \r\n
\r\n\r\n No matches were found.\r\n
\r\n\r\n You can search by entering the patient's name, date of birth, or order number.\r\n
\r\n\r\n If this seems incorrect, please contact GeneSight Customer Service at\r\n \r\n {{ $store.getters.getCsPhone }}\r\n \r\n or\r\n \r\n {{ $store.getters.getCsEmail }}.\r\n
\r\n\r\n {{ getDecodedName(item.cell[2]) }}\r\n
\r\n\r\n DOB: {{ item.cell[3] }}\r\n
\r\n\r\n {{ item.cell[7] }}\r\n
\r\n \r\n \r\n\r\n Enter your email address below to have a link to reset your password e-mailed to you.\r\n
\r\n\r\n An email has been sent to you containing a link to reset your password.\r\n
\r\n\r\n All orders for Medicare/Medicare Advantage patients now need to be authorized by the ordering clinician. We are asking all clinicians to create an electronic signature to enable order authorizations, even if you don't treat Medicare patients at this time.\r\n
\r\n\r\n By clicking 'Accept and Create E-Signature', I attest that my electronic signature below authorizes the placement of GeneSight test orders.\r\n
\r\n\r\n Full Name: {{ $store.getters.getClinicianName }}\r\n
\r\n\r\n The above name matches your NPI or PECOS registry. If this is not correct, please email\r\n \r\n {{ $store.getters.getCsEmail }}.\r\n
\r\n\r\n Preview\r\n
\r\n\r\n {{ $store.getters.getClinicianName }}\r\n
\r\n\r\n By clicking 'Sign and Authorize Order', I attest that my electronic signature above authorizes the placement of GeneSight test orders.\r\n
\r\n\r\n
\r\n All orders have been authorized.\r\n
\r\n\r\n Dont forget to sign and date the Cheek Swab Envelope\r\n
\r\n\r\n Orders pending your authorization will appear here.\r\n
\r\n\r\n In addition, the number of orders pending authorization is shown next to the \"Authorize Orders\" button and navigation links within this site when there is at least one order to authorize.\r\n
\r\n\r\n An error has occurred and we're doing our best to resolve the problem as quickly as possible.\r\n
\r\n\r\n In the meantime, here is what we recommend:\r\n
\r\n\r\n Refresh the page (sometimes this helps)\r\n
\r\n\r\n Try again later (30 minutes or so)\r\n
\r\n\r\n Contact Customer Service at \r\n support@genesight.com\r\n or \r\n 888.757.9204\r\n \r\n
\r\n\r\n Patient Name\r\n
\r\n\r\n {{ $store.getters.getCurrentOrderPatientName }}\r\n
\r\n\r\n Date of Birth\r\n
\r\n\r\n {{ $store.getters.getCurrentOrderPatientDob }}\r\n
\r\n\r\n PHQ-9 Results as of {{ phq9Date }}\r\n
\r\n\r\n | \r\n \r\n {{ $store.getters.getPhq9Score }}\r\n \r\n {{ getPhq9ScoreValueString() }}\r\n | \r\n \r\n | \r\n Response\r\n | \r\n \r\n
---|---|---|
\r\n Little interest or pleasure in doing things\r\n | \r\n\r\n {{ littleInterest.key }}\r\n | \r\n\r\n {{ littleInterest.value }}\r\n | \r\n
\r\n Feeling down, depressed or hopeless\r\n | \r\n\r\n {{ feelingDepressed.key }}\r\n | \r\n\r\n {{ feelingDepressed.value }}\r\n | \r\n
\r\n Trouble falling or staying asleep, or sleeping too much\r\n | \r\n\r\n {{ troubleSleeping.key }}\r\n | \r\n\r\n {{ troubleSleeping.value }}\r\n | \r\n
\r\n Feeling tired or having little energy\r\n | \r\n\r\n {{ littleEnergy.key }}\r\n | \r\n\r\n {{ littleEnergy.value }}\r\n | \r\n
\r\n Poor appetite or overeating\r\n | \r\n\r\n {{ poorAppetite.key }}\r\n | \r\n\r\n {{ poorAppetite.value }}\r\n | \r\n
\r\n Feeling bad about yourself or that you have let yourself or your family down\r\n | \r\n\r\n {{ feelLikeAFailure.key }}\r\n | \r\n\r\n {{ feelLikeAFailure.value }}\r\n | \r\n
\r\n Trouble concentrating on things, such as reading the newspaper or watching television\r\n | \r\n\r\n {{ troubleConcentrating.key }}\r\n | \r\n\r\n {{ troubleConcentrating.value }}\r\n | \r\n
\r\n Moving or speaking so slowly that people could have noticed. Or the opposite - being to fidgety or restless that you have been moving around a lot more than usual\r\n | \r\n\r\n {{ lethargicOrRestless.key }}\r\n | \r\n\r\n {{ lethargicOrRestless.value }}\r\n | \r\n
\r\n Thoughts that you would be better off dead, or of hurting yourself\r\n | \r\n\r\n {{ suicidalThoughts.key }}\r\n | \r\n\r\n {{ suicidalThoughts.value }}\r\n | \r\n
\r\n According to the DSM-5, does the patient suffer from Major Depressive Disorder (MDD)?\r\n
\r\n\r\n Depressive Symptoms\r\n
\r\n\r\n At least 1 of the following:\r\n
\r\n\r\n and\r\n
\r\n\r\n According to the DSM-5, are the patient's depressive symptoms:\r\n
\r\n\r\n few, if any, symptoms in excess of the five required to make the diagnoses and the symptoms result in only minor functional impairment\r\n
\r\n\r\n symptoms or functional impairment are between 'mild' and 'severe'\r\n
\r\n\r\n\r\n most symptoms and the symptoms markedly interfere with functioning; can occur with or without psychotic symptoms\r\n
\r\n\r\n Does the patient suffer from anxiety?\r\n
\r\n\r\n ICD-10 Code(s)\r\n
\r\n\r\n {{ mthfrDiagCode1.description }}\r\n
\r\n\r\n {{ diagCode1.description }}\r\n
\r\n\r\n {{ mthfrSecondaryDiagCode1.description }}\r\n
\r\n\r\n {{ secondaryDiagCode1.description }}\r\n
\r\n\r\n {{ mthfrSecondaryDiagCode2.description }}\r\n
\r\n\r\n {{ secondaryDiagCode2.description }}\r\n
\r\n\r\n {{ mthfrSecondaryDiagCode3.description }}\r\n
\r\n\r\n {{ secondaryDiagCode3.description }}\r\n
\r\n\r\n Has the patient failed or are they currently failing at least one neuropsychiatric medication?\r\n
\r\n\r\n Failed Medications\r\n
\r\n\r\n Are you contemplating an alteration in a neuropsychiatric medication treatment for this patient?\r\n
\r\n\r\n {{ additionalInformationLabel }}\r\n
\r\n\r\n ADD MTHFR\r\n
\r\n\r\n MTHFR added\r\n
\r\n\r\n \r\n Select a medical necessity below\r\n \r\n
\r\n\r\n Medical Necessity (select all that apply)\r\n
\r\n\r\n This option is only available if at least one GeneSight medication is entered in the Failed Medications field above.\r\n
\r\n\r\n Medicare has stipulated in\r\n \r\n LCD L38394\r\n \r\n that providers need to first consider non-genetic factors prior to seeking PGx tests. Providers must affirmatively attest that they have first selected potential medications based on non-genetic factors.\r\n
\r\n\r\n Medicare has stipulated in\r\n \r\n LCD L38394\r\n \r\n that PGx tests are covered when providers are considering medication(s) with a potential gene-drug interaction as defined by CPIC or the FDA. The selected medication(s) do not have potential gene-drug interactions recognized by CPIC or the FDA.\r\n
\r\n\r\n Options for proceeding with this order:\r\n
\r\n\r\n \r\n If you have considered other factors for this patient based on non-genetic factors prior to seeking PGx testing, please update your answer above to proceed with this order.\r\n \r\n
\r\n\r\n \r\n If you are considering other medication(s) for this patient, you may add them in the box above.\r\n \r\n Selecting medications with potential gene-drug interactions in the drop down above will enable you to receive a test report without securing an Advance Beneficiary Notice (ABN).\r\n
\r\n\r\n \r\n If you do not take additional action, an ABN will need to be signed by the patient\r\n \r\n to complete this order and receive a report for this non-covered test.\r\n \r\n To submit an ABN, please follow the steps for submission in the alert above.\r\n \r\n
\r\n\r\n Selecting medications that interact with single genes* will result in a Single Gene Report.\r\n
\r\n\r\n Selecting medications that interact with multiple genes* will result in a Genesight Psychotropic Report.\r\n
\r\n \r\n1\" class=\"gene-alert-text sub-section-label\">You selected multiple medications with a single gene interaction*:
\r\nYou selected one medication with a single gene interaction*:
\r\nBased on current medication selection for this Medicare order, a {{ singleGeneSubtext.replace(' only', '') }} Single Gene Report will be delivered.
\r\n \r\n View Medicare LCD L38394\r\n \r\n\r\n If you have any questions, please contact your Genesight representative, or call Genesight Customer Support at 866.757.9204.\r\n
\r\n\r\n 1. Tap into the ICD-10 box to quickly find codes to match your patient's diagnosis.\r\n
\r\n\r\n 2. Your patient indicated these medications have not worked for them. Review, add or edit as necessary to match their medical record.\r\n
\r\n\r\n 3. Complete the Treatment Plan section\r\n
\r\n\r\n {{ $store.getters.getCsHours }}\r\n
\r\n\r\n \r\n {{ $store.getters.getCsPhone }}\r\n (phone)\r\n
\r\n\r\n {{ $store.getters.getCsFax }} (fax)\r\n
\r\n \r\n {{ $store.getters.getCsEmail }}\r\n \r\n\r\n {{ $store.getters.getMiHours }}\r\n
\r\n\r\n \r\n {{ $store.getters.getMiPhone }}\r\n (phone)\r\n
\r\n \r\n {{ $store.getters.getMiEmail }}\r\n \r\n\r\n Only clinics with the Patient Information Entry feature enabled are shown. Contact your Sales Representative to enable additional clinics.\r\n
\r\n\r\n Sorry, we're unable to contact minors directly to collect order information at this time. Sign in to mygenesight.com from a desktop/laptop computer to place an order for this patient.\r\n
\r\n\r\n No mobile number?\r\n
\r\n \r\n enter an email address\r\n \r\n\r\n Your patient will receive a notification with a link to provide information required for GeneSight testing.\r\n
\r\n\r\n Your patient may submit this information prior to their next appointment.\r\n
\r\n\r\n \r\n Note: We will send them occasional reminders to complete this information. There's no need for you to follow-up with them.\r\n \r\n
\r\n\r\n Once completed, you will be notified to review and authorize the order.\r\n
\r\n\r\n If your patient does not complete entry before their next appointment, please collect and enter their information as usual.\r\n
\r\n\r\n The reset password link has expired or is invalid. Please tap the link below to request a new link.\r\n
\r\n\r\n Password set\r\n
\r\n\r\n Your account has been updated with your new password.\r\n
\r\n\r\n Please enter a new password for your account below:\r\n
\r\n\r\n Please try again or