Wicomico County Public Schools – Cologuard (100% Employer Paid) Employer(required) Wicomico County Public Schools Test Requested(required) COLOGUARD Name (First and Last)(required) Date of Birth (MM/DD/YYYY)(required) Sex(required) Female Male Email(required) Last Name of Primary Insured Individual(required) Cologuard - Survey Questions - Check Box If Only Answering YES for Each Question(required) Are you above or approaching the age of 45? Do you have a personal history of conditions associated with high colorectal cancer risk? Do your parents have a history of conditions associated with high colorectal risk? Have you had a colonoscopy within the past 3 years? Do you have hereditary cancer syndrome? Do you currently have symptoms of colorectal cancer such as rectal bleeding or blood in stool? Shipping Address (Please Enter Address on One Line)(required) Phone Number(required) Submit Δ Share this:TwitterFacebookLike this:Like Loading...
