For questions on when to use an ABN Medicare waiver of liability form, please contact TOPA at 805-373-8582 and a billing specialist will be able to assist you.
Fax completed form to TOPA Diagnostics at (805) 373-0023 one to two days prior to the procedure so that we may plan accordingly.
To order supplies, please print and complete the supply order form and fax it to TOPA Diagnostics at (805) 373-0023.
TOPA Diagnostics Requisition Forms
For questions about completing and delivering the forms below, please call TOPA Diagnostics at (805) 373-8582 or email at firstname.lastname@example.org
Customizable Gynecological Requisition
Hematopathology Handling Requirements
Molecular Pathology Requisition
Podiatric Pathology Requisition
Podiatric Pathology Handling Requirements
Urologic Pathology Requisition