REQUEST FOR STOOL TEST KIT
Patient Name <Mail Merge>
I wish to receive a stool test kit. I know that a stool blood test should be performed annually and understand that a positive (abnormal) test result should be followed up with a colonoscopy.
STUDY ID# <Mail Merge>
Side 2:
REQUEST FOR STOOL TEST KIT
[INSERT HERE: RETURN ORGANIZATION NAME AND ADDRESS]
STUDY ID# <Mail Merge>