LOG IN Order a Test We make it easy to order our comprehensive genomic profiling tests for your advanced cancer patients. JUMP TO Overview How to Order Additional Ordering Options Order a Kit Overview OVERVIEW Ordering Overview Foundation Medicine tests must be ordered by a licensed physician. We offer multiple ways to order our tests: Electronic Medical Record (EMR) Systems: our integrations with EMR systems, like Epic® (expected 2022) and OncoEMR®, will allow you to place an order for a test directly through your practice's EMR system if enabled Foundation Medicine’s Online Portal: login or sign up for an online account Email or Fax: download or print our Test Requisition Form. Completed forms and associated attachments can be submitted via email to client.services@foundationmedicine.com or via fax to +1 (617) 418-2290 If sending a solid tumor specimen, Foundation Medicine can complete the specimen retrieval process if requested on the order form (complete pathology lab information must be provided). If sending peripheral blood or bone marrow aspirate, please order the appropriate test kit with the form below to your practice and follow the specimen preparation instructions for liquid specimens. International Customers: To order, please visit rochefoundationmedicine.com or call +1 (888) 988-3639. Ordering Resources Test Requisition Form (TRF) Test Requisition Form Explained FoundationOne CDx Specimen Instructions FoundationOne Liquid CDx Specimen Instructions FoundationOne Heme Specimen Instructions (All Sample Types) Specimen Release Consent Form Authorization to Release Test Results to a Designated Third Party 2021 Lab Schedule HOW TO ORDER How to Order a Foundation Medicine Test Solid Specimen Ordering Process Liquid Specimen Ordering Process Solid Specimen Ordering Process Solid Specimen Ordering Process If you will be sending an FFPE block or unstained slides to Foundation Medicine for testing with FoundationOne®CDx or FoundationOne®Heme, please follow the instructions below: Place a test order through your EMR system if enabled or order online by logging in or signing-up for a Foundation Medicine account. Orders can also be submitted via email or fax using our Test Requisition Form. Complete the order form, provide any required attachments including Advanced Beneficiary Notice if needed, and submit. Some pathology labs require patient consent prior to releasing a specimen for testing, so providing us with a completed Specimen Release Consent Form up front can help avoid potential order delays. Foundation Medicine will contact the pathologist if requested during the ordering process with instructions for sample procurement and shipment. If you will be arranging for specimen shipment yourself, please do so after submitting the order form. To request a Specimen Shipping Kit please contact client services or fill out our Order a Shipping Kit form below. You will receive online or printed results typically 12 days or less from receipt of specimen for FoundationOne CDx. Place Orders and Receive Test Results Directly in Your EMR We know how important efficiency is for your clinical workflow. That’s why we’re partnering with EMR systems like Epic and OncoEMR to integrate our comprehensive genomic profiling (CGP) tests and our other testing services into your practices’ workflow. Once enabled, our EMR integrations allow providers to place orders for our CGP tests and receive and view test results directly within their existing workflow. To learn more about our EMR integrations, please contact your Commercial Program Manager or reach out to our Client Services team at client.services@foundationmedicine.com or +1 (888) 988-3639. Easy Ordering with our Digital Experience Learn more about how online ordering, digital reporting, and our mobile application can help transform your genomic testing workflow. LEARN MORE ABOUT ONLINE ORDERING & REPORT INTEGRATIONS Billing and Financial Assistance Foundation Medicine is committed to helping patients access our testing services. Some commercial health plans such as Cigna and many BlueCross BlueShield plans offer coverage for Foundation Medicine testing services. Medicare covers FoundationOne CDx, FoundationOne Liquid CDx, and FoundationOne Heme for qualifying patients. FoundationOne CDx is also covered by TRICARE for qualifying patients. FoundationOne®Heme has limited commercial health plan coverage at this time. LEARN MORE ABOUT BILLING & FINANCIAL ASSISTANCE ADDITIONAL ORDERING OPTIONS Additional Ordering Options Mobile Phlebotomy Portfolio Reflex Option Mobile Phlebotomy Mobile Phlebotomy Foundation Medicine offers in-home blood draw services through a mobile phlebotomy vendor to support broader access to FoundationOne Liquid CDx and FoundationOne Heme, at no additional cost. Mobile phlebotomy can be requested during the online ordering process or on our test requisition form. If requested, we will schedule a phlebotomist appointment directly with the patient and ship a kit to their home. RESOURCES Mobile Phlebotomy Overview (Providers) ORDER A KIT Order Foundation Medicine Specimen Shipping Kits to your practice. FIRST NAME* LAST NAME* EMAIL* PHONE NUMBER* INSTITUTION* NPI NUMBER* STREET ADDRESS* CITY* STATE/REGION* ZIP/POSTAL CODE* SELECT KIT TYPE* Please Select FoundationOne CDx (CDX-K-001) FoundationOne Liquid CDx (LCDX-K-001) FoundationOne Heme - Liquid Specimen (HEM-K-001) FoundationOne Heme - FFPE Specimen (HEM-K-002) Please Select QUANTITY* Please input a quantity between 1 and 20 Please send me Foundation Medicine kits per order above Please include me in future communications about Foundation Medicine Only physicians appropriately licensed in the United States may request a Foundation Medicine kit through this page. If you’d like to order additional kits, have any questions, or are based outside of the United States, please contact client services at +1 (888) 988-3639 or client.services@foundationmedicine.com. Answers to Common Questions How do I obtain the results of a Foundation Medicine test? How do I sign-up for a Foundation Medicine account to order tests and access patient results online? I’m having trouble logging in to my Foundation Medicine account – who do I contact to help? I’m interested in signing my practice up for Foundation Medicine’s Epic or OncoEMR integration – who do I contact? VIEW ALL PROVIDER FAQS ADDITIONAL NOTES FoundationOne Heme was developed and its performance characteristics determined by Foundation Medicine. It has not been cleared or approved by the U.S. Food and Drug Administration. For more information on this laboratory developed test please see the Technical Specifications at foundationmedicine.com/f1h. 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