Order Instructions
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To order VirtuOst for your patient, two items are required:

  1. Signed and completed VirtuOst Order Form
    • This form needs to be signed by both the ordering physician and the patient.
    • For patients in traditional Medicare ("Part B"), include also a copy of the patient's insurance card (both sides), and, if needed, the VirtuOst ABN Form signed by the patient.
  2. DVD containing the patient’s CT scan
    • Either mail a copy of the scan to O.N. Diagnostics, or request O.N. Diagnostics to retrieve it from the radiology facility.

For details, please refer to these Order Instructions.

Currently, O.N. Diagnostics accepts Medicare Part B (traditional Medicare) insurance and self-payment. Learn more about reimbursement for BCT.

Download Forms:
VirtuOst Order Form
VirtuOst ABN Form

Complete the form below, or call 510-204-0688 and ask for IDTF (9 am to 5 pm PST, Monday–Friday).

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