How do I fill out the lab order form template form on my smartphone? In addition to selecting from predefined lists of items (by category), you can select from a list of favorite items based on your previous orders, and you can submit commentsfor example, you can request an item that you cannot find in the list, or bring attention to items that you need immediately. 2 Upload a file. Printing. 2023 Laboratory Corporation of America Holdings. Easily edit, annotate, sign, download, print, send them out, and much more. If this requisition is diagnostics lab order as such uses cookies and chief medical labs your diagnostic patient access whatever service center in. You can easily create your eSignature with pdfFiller and then eSign your quest client supply order form directly from your inbox with the help of pdfFillers add-on for Gmail. )XTb;; $o Log into MyQuest to book or reschedule a lab visit, view test results, and more. 221 0 obj <>stream 174 0 obj <> endobj Edit your quest lab order form online. The Supplies page allows you to electronically order a wide variety of supplies to be used exclusively for tests performed by Quest Diagnostics or with Quest Diagnostics equipment. It's easier to work with documents with pdfFiller than you could have believed. Va. Dept of Taxation Additional information pertaining to household and living expenses. Ordering Supplies. Test code 92777, Access to advanced screening and accurate results from a single source.c. Please email your request to [email protected], or fax to 267-200-0329. Test requests can be accepted on non-Labcorp forms. Then click Edit. When ordering tests, please use our most up to date requisition forms available from our website at www.mnglabs.com/testing/formsFor information on contracting with us, please call 678-225-0222 and a customer service representative will direct your call.Please browse our Test Directory for full test descriptions and appropriate sample types at 4hu?M6uNBw.GV+WL{g"g`JV2AEb8D4OV?OM?V:jf[l1t11vz6l6__l)Dl`Z"eG, eHB6 /OGvw:Y X8-0'e aj07J:wQ}Og}Nf+Fp|wE7lFCj\1z4~c$6Il7EE*$$. d Guy C, Haji-Sheikhi F, Rowland CM, et al. %PDF-1.6 % For fastest processing, please fax this requisition and fully-completed Clinical History Form to 855.422.5181 If you have questions regarding this order, please call 866.GENE.INFO PRINT PATIENT NAME (LAST, FIRST, MIDDLE) REGISTRATION # (IF APPLICABLE) DATE OF BIRTH M M D D YEAR SEX PATIENT EMAIL ADDRESS Health Canada's primary health care regulatory authority is the Canadian Institute for Health Information, a publicly funded, independent organization that receives funding from Health Canada for the purpose of collecting and disseminating statistical information associated with the health, well-being and the effectiveness of Canadian patients and Canadians. TEST REQUISITION 9410 Carroll Park Drive San Diego, CA 92121 TOLL FREE: (888) 423-5227 PHONE: (858) 824-0895 FAX: (877) 816-4019 www.prometheuslabs.com Nestl Health Science Company TEST REQUISITION PLEASE PRINT Laboratory / Account Information DATE COLLECTED (required): TIME COLLECTED: PATIENT ID # SENDER SAMPLE ID # Next, open the app and log in or create an account to get access to all of the solutions editing features. Overnight orders must be placed by 12:00 p.m. PST / 3:00 p.m. EST, to receive the supplies the next business day. QNatal Advanced is a laboratory developed test that has been developed and validated, pursuant to the Clinical Laboratory Improvements Amendments of 1988 (CLIA), and as such it has not been reviewed by FDA. You can also download it, export it or print it out. No doctor visit required. If your provider faxed the test requestform or lab order directly to Litholink we will have it on le. ReproSource empowers you to make the best decisions about patient fertility treatments, with access to a network of experts and high-quality testing. Some insurance will pay only for Quest, and other insurance only for LabCorp, and some insurance companies prefer other lab companies. The display of third-party trademarks and trade names on this site does not necessarily indicate any affiliation or endorsement of daily-catalog.com. A Quest Diagnostics Laboratory INFLAMMATION Y C133 Myeloperoxidase 94218 Lp-PLA 2 Activity C121 hs-CRP All you have to do is be sure your testing is sent to labs that are in the Aetna network, such as Quest Diagnostics. WO-D.COM Find the most popular Canadian forms collected in one large catalog. Quest lab order form. Get your file. Edit quest client supply order form. This QNatal Advanced Cost Estimator provides estimated out-of-pocket costs specific to each woman and her pregnancy, her health plan, and her deductible, resulting in a personalized estimate. 0 Quest Diagnostics has over 500 patient access points throughout Northern and Southern . No trade-offs required. Otherwise, go to step 4. Choose My Signature. read. Other, namely: Endocx. pdfFiller is not affiliated with any government organization, Account # Date: Ship To: Please fax your order to 6102714193 Or email to: WoodDaleClientSupply questdiagnostics.com Allow 23 business days for delivery QT YUM PK EA EAE AID T01 T59 T57 T04 T05 T07. 6 hours ago Client supply order form Client code: Client name: Ordered by: Date: Please order according to listed unit and allow 2-4 business days for delivery. We will be looking into this with the utmost urgency, The requested file was not found on our document library. This discard tube is used to ll the winged set tubing's Becton, Dickinson and Company. The addition to tax is computed on Form 760C Form 760F for farmers fishermen or merchant seamen. No doctor visit required. 7. . To save changes and return to your Dashboard, click Done. Quest Diagnostics Lab; Population Health; Patient Resources. PK ! Visit questhealth questhealth offers a variety of tests, including: General health and wellness Men's and women's health COVID-19 Allergy testing QuestDirect results are only available through MyQuest, a free, secure patient portal that you can access on your smartphone, tablet, or desktop. We. Locating a Quest Diagnostics Patient Service Center: a. If you do not have your sample collected at our Quest Patient Service Center within 60 days of your purchase, your purchase will expire. QuestDirect offers a wide range of lab tests with convenient ordering, simple scheduling, and confidential results. Please note that you must register for an account in order to save your signatures and signed documents. Place it indicates a requisition form from an account, and an email address, collection. Bring this requisition form (printed or on phone) to the laboratory. ABN Form Non-ordering Provider Request Form Supply Request Form Fax the Supply Request Form to 405-608-6135 For answers to questions regarding your office's testing supplies, please contact us at one of the phone numbers listed below. doi:10.1002/mgg3.545 (finding a no-call rate of 3.5%; several authors affiliated with Quest Diagnostics). Indicate the date to the sample using the Date option. A lab order can be printed or digital. In addition, if elected, QNatal Advanced can screen for certain microdeletions and/or fetal sex. EXAMPLES OF PICTURES OF BANDED HANGERS SHOES OR STAINLESS STEEL. A l u m n A e amp F r e s t r i d g - Crestridge Alumnae, A l u m n A e amp F r i e n d s r e s t r i d g, Spring 2011 for website.pub - Crestridge Alumnae, INTRODUCING THE NEW BEEHIVE - Crestridge Alumnae, Bold Line in the Electrical Services Agreement Template with ease, Bold Line in the Retainer Agreement Template with ease, Bold Line in the Advertising Agreement Template with ease, Bold Line in the Waiver Agreement Template with ease, Bold Line in the Money Transfer Agreement Template with ease, Forms and Requisitions | Lab Services | OHSU, Downloadable Forms | Clinical Laboratories, Lab Forms and Requisitions | Seattle Children's Hospital, keurig dr pepper physician results form printable lab requisition form. Pour into Transport Vial ID Patient SERUM Label with specimen type and patient ID If you need assistance in the meantime, please contact us at [email protected] or 866-MYQUEST (866-697-8378). Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more. Open PDF In Browser, View PDF. 2019;7(3):e545. Visit Health Care Provider Help. The Quest Diagnostics difference Bringing together quality, speed, and technology to power advanced, affordable diagnostics for all. In case you're new, it's time to start your free trial. With more than 2,250 locations, there is a Quest Patient Service Center near you. Expect your At -Home Kit to arrive 5-7 business days from the date the order wasplaced. PNS Clinicians and Lab order form (PDF). Edit quest client supply order form pdf. WO-D.COM Book now Close and convenient %%EOF Install it in seconds at the Apple Store. Rearrange and rotate pages, add and edit text, and use additional tools. From the Supplies page, you can directly access the Quest Diagnostics Test Directory website to review ordering and collection information by test by clicking in the top right of the page, and then clicking the Access the Quest Diagnostics Test Directory link. endstream endobj startxref Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. In accordance with applicable laws, Quest Diagnostics Inc. provides only those supplies directly related to collecting, preserving, and transporting specimens received for testing at our laboratory. screens for the most common fetal aneuploidies, including Down syndrome. z! pP"xsA-aBoHGp,n+=LA B*z Create fillable documents and edit existing PDFs from any internet-connected device with pdfFiller. My insurance requires I use Labco. With Quest, you hold the power to purchase lab tests for yourself. No doctor visit required. Test requests can be accepted on non-Labcorp forms. 756 0 obj <>/Filter/FlateDecode/ID[<98B3678F29404B4CBF4AB039678404DC><1D01ED594EFBE84BB93A7D9049401B3A>]/Index[739 40]/Info 738 0 R/Length 92/Prev 249786/Root 740 0 R/Size 779/Type/XRef/W[1 3 1]>>stream HWnF}GV{ A YvVRN &N}gvI*@`3;gfw=%2H2LJNsl\*v3t2!hb$rc`Z:>uu|]Lu^Tw3`\g ! pwRVO'$x9bD 3 s6?gOGL}z Please bring the test request form your doctor provided, along with your insurance information and identification, to your local Labcorp facility. 9 hours ago A current electronic lab order from your doctor is required before you can schedule an appointment. Award-winning PDF software How to prepare Quest Diagnostic Requisition Form 1 Open the document If you are searching for an editable Quest Diagnostic Requisition Form template, you will be at the right place. After that, save the form, print it, send for signing, or email it to your agent right from your browser. If your doctor doesnt hand you a printed lab order, we recommend contacting them prior to your Quest appointment to confirm that it was sent electronically. Decide on what kind of eSignature to create. Fill out, edit & sign PDFs on your mobile, Laboratory Use Only Ministry of Health and Long-Term Care Laboratory Requisition Requisitioning Clinician / Practitioner Clear Form Name Address Clinician/Practitioner s Contact Number for Urgent, Form Popularity lab requisition form template word. REQUISITION FORM INSTRUCTIONS 1. In addition to selecting from predefined lists of items (by category), you can select from a list of favorite items based on your previous orders, and you can submit commentsfor example, you . (For example, you might receive a telephone call, or a note might appear on the packing list for the supplies that can be sent.) After ordering your lab testing, you will receive an email with your lab requisition. patients receive prenatal screening at a lower cost. Quest Diagnostics offers many laboratory tests and screening services. Send quest lab form pdf via email, link, or fax. Rearrange and rotate pages, insert new and alter existing texts, add new . If a particular supply is not available, you will be notified, although the procedure for this varies from lab to lab. Note: You can order supplies only if you are accessing an IOP facility. 3 hours ago 2. 02. endstream endobj 175 0 obj <. When you select the Standing Order check box, the standing order frequency options appear. Quest Diagnostics Incorporated 900 Buisness Center Drive Horsham, PA. 19044 CYTOLOGY AND HISTOLOGY COLLECTION Date Contact/Client Name Has your doctor created a COVID-19 test order with Quest for you already? Normal. endstream endobj 338 0 obj <>stream In the private sector, private health insurers are accountable to the public and individuals. Share your form with others Send quest lab form pdf via email, link, or fax. There are three variants; a typed, drawn or uploaded signature. Access the Quest Diagnostics Test Directory. ho6b7)Gh; I>(%Rg 8~G2,\Ba1C(9aT@-CE&QY]p*TfA4 (Requisitions capacity can embedded in the browser window or publish in a separate Claim dialog box, depending on how your user . How do I edit lab requisition form template in Chrome? Type text, add images, blackout confidential details, add comments, highlights and more. h[nK}qHcZu7z"Er X{OOgS=0=l9U]]uLx`Jkf%1h}`0 u1!%:&4z&60gnsIsISLZjk&=7&2%g1%d}SVp9SN( W la8-iA1igF.pf,f$>@VA` 9"H!"c0RU2PVi|QC1 q&?H$ %PDF-1.6 % If you believe that this page should be taken down, please follow our DMCA take down process, 17 Station St., Ste 3 Brookline, MA 02445. We make QNatal Advanced testing more accessible with cost transparency, financial tools, and support at every step. Weve collected templates for parents, students, and teachers all in one place to save time. By using this site you agree to our use of cookies as described in our, Sign up and log in to your account. Click submit to generate your customized test request form: This PDF form is preloaded with the selected organization's id and address. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. The positive predictive value of the screening test varies by genetic marker, and may be lower for rare conditions. As of 2020 the company had approximately 48,000 employees, and generated more than $7.7 billion in revenue in 2019. After you click Print or Cancel in that interaction box, the document remains displayed in an Ade Proofreader frame. Our staff will verify the testing details with the ordering provider. &&d,`| &0I0"gWI L^I" ".Feq0w`20 \{ cQNatalAdvanced is a cell-free DNA test that screens for increased risk of certain fetal chromosomal abnormalities that may cause birth defects, including Trisomy 21 (Down Syndrome), Trisomy 18, Trisomy 13, and certain sex chromosome abnormalities (ie, 45,X, 47,XXY, 47,XXX, and 47,XYY). Debtors certification of completion of postpetition instructional course form. All Rights Reserved. Data on file. 336 0 obj <>stream Lat. 5 hours ago quest diagnostics lab order form pdf an iPhone or iPad, easily create electronic signatures for signing a quest requisition form in PDF format. Additional tests: Cervical Cytology: Pap smear. Vag. Thats our promise to you and your patients. zD+`iRAK\*]O2kf}mq6Cl8[/XpBKdgq//; l: $7= 1= >H>@Rwi&> ZtpL4Aw$n,Q9 M]3zlJVF'> ).;N,b[36@^C>g5|>8 #-t4zz\;/,_B+=j2<4z4=(hEz~uG+65lg@>u~g!$P{Q!$B2Co`3H`Wy0#hs49gOJ;(LU,W@MV= uVV7Uq&"T'M~X 1kNqH5biFk/b:M/b# FrK1fS ]c[6>h8}#8+i\%@+kQ}FgW9`P If you believe that this page should be taken down, please follow our DMCA take down process, This site uses cookies to enhance site navigation and personalize your experience. Page Count: 70. Test code 92777. My doctor provided a test request form for a different laboratory. L'application Soumission RHM, FinhostaPortal - Belgium, One-to-one Workshop Oocyte and Embryo - UZ Brussel-VUB. If you click a merchant link and buy a product or service on their website, we may be paid a fee by the merchant. April 28th, 2018 - Fill Quest Diagnostics Lab Order Form download blank or editable online Sign fax and printable from PC iPad tablet or mobile with PDFfiller Instantly . The lab order will be valid for 90 days and the patient can come in anytime during this period even if "Today" is selected as the arrival date. Click the Get Form option and open up a format inside a hassle-free PDF editor. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. With more than 3,500+ tests available, we can support every stage of a womans life with important insights, We offer a variety of useful resources for healthcare professionals, For assistance with questions about the testing process or locations, call 1.866.MYQUEST (1.866.697.8378), Contact us to receive additional information on our lab tests, services, and coverage. You can also use MyQuest to share your results with your doctor, family, or friends. Please check your spelling or try another term. You may save it as a PDF, email it, or upload it to the cloud. You can also download, print, or export forms to your preferred cloud storage service. When you place an order, you can specify one or more email addresses to which shipping updates and notifications will be sent. Y5*0X`|i{.,gdAMaS9f`> ! As with any test, there may be false positives or false negatives. Open it immediately and start altering it with sophisticated capabilities. 0 With your Aetna plan, you SAVE BIG on testing and other lab services. GET the PHONE AND FAX NUMBER of your doctor on the order- this is necessary for Quest to send lab results to your doctor 4. endstream endobj 339 0 obj <>stream You can send in the completed forms with the requisition paperwork and the sample or fax them to us. endstream endobj 743 0 obj <>stream 9 hours ago After your doctor completes the form, there are three options for submitting the form to Quest Diagnostics *Important: You will be required to enter all lab results required by the Program Panel before being able to click the Submit button to upload your completed Physician Results Form. Quest diagnostics lab order form pdf drstevescott.com Preview 800-697-9302 6 hours ago SHMG Supply Order Form (X24639) Supply Order Form (X06246) - Outpatient Lab Supplies are filled 8 am - 5 pm, Monday - Friday, excluding holidays. BRING BCBS CARD and QUINCY PUBLIC SCHOOL ID- Bring To Draw Site 5. By using this site you agree to our use of cookies as described in our, Something went wrong! Allrightsreserved. WO-D.COM QHerit, our innovative genetic carrier screening portfolio provides clinically relevant, right-sized panels that deliver information that you and your patients need to help plan their futures. Information: Date added: 10.06.2015. 9 hours ago CLIENT SUPPLY ORDER FORM BLOOD COLLECTION TUBES TRANSPORTATION MEDIA *PK/100 T47 Serum Separator Tube 7.5ml 170739 EACH C01 Culture Swab, Copan Blue Gel Aero/Ana 141902 EACH A32 Prostate Biopsy Kit pk14 141881 *PK/100 T04 Lavender Top Tube - EDTA 4ml 141997 EACH M10 Virapap Kits (HPV) 3113 , See Also: Art Catalogs, Health Catalogs Show details. 5 hours ago A current electronic lab order from your doctor is required before you can schedule an appointment. Use our full directory of educational documents to quickly search for student applications, college or sport registration forms, scholarship claims, and other related forms. In case you're new, it's time to start your free trial. Please note: We can only accept patients in our Patient Service Centers who have not experienced COVID-19 symptoms in the last 10 days. SPECIAL ORDER OF (8) PAINTED SOUND SIDEWALLS. It starts by being in-network with the majority of health plans nationwide. . However, this will depend on the patient's state and the classification of the medication. Add pdfFiller Google Chrome Extension to your web browser to start editing laboratory requisition form pdf and other documents directly from a Google search page. 5 hours ago How to complete the Quest diagnostics lab order form online: To get started on the document, utilize the Fill & Sign Online button or tick the preview image of the form. We are committed to helping your patients receive prenatal screening at a lower cost. d9:^8{S2yBv:hbci0{95 j2U Can I create an electronic signature for signing my quest lab supply order form in Gmail? Please check your spelling or try another term. Your At-Home Kit will include everything you need to complete your 24-hour urinecollection(s). If you have questions about the Quest test kit: Toll-free line: 855-324-7472. Editing quest lab supply order form online Ease of Setup pdfFiller User Ratings on G2 Ease of Use pdfFiller User Ratings on G2 In order to make advantage of the professional PDF editor, follow these steps below: 1 Check your account. Can I edit quest supply order form on an iOS device? In many bags, when you take an action that initiates printing (such because filing any order), the Print duologue box emerges automatically. If you can access had time is quest diagnostics lab requisition form inside. Please contact your local Quest Diagnostics Sales Representative for the Supply Order Form. 20102023 Quest Diagnostics Incorporated. How to complete the Quest diagnostics lab order form online: To get started on the document, utilize the Fill camp; Sign Online button or tick the preview image of the form. Lab Results Ready. To find it, . Employers: Supply Order Form | Quest Diagnostics Quest Corporate Help Employers: Supply Order Form Contact Us Online Fill out the form below and then click Submit Please remember that email, including this web form, is not a secure method of communication. SINGLE TOUCH WINDOWS W/W/HUNG, W/MINING TOUCH WINDOWS W/MINING, ALL HAD W/HUNG HARDWARE, TUMBLERS and OILS INCLUDING PAINTED ITEMS AND SHOES. Upload a file. This site uses cookies to enhance site navigation and personalize your experience. Sincerely Signature of Certifying Official Signature of Trainee Date Signed Form 22-8864 Other On-the-Job Training Com Word book of contents templates for schools no No Download Needed needed. uRw [Content_Types].xml ( M0HW!tr(kOkgQw74K}. Open them in the editor, fill out, e-sign, and share them right from your browser. Turn on the Wizard mode in the top toolbar to get additional recommendations. *PK/25 U13 Urinalysis Vial w/ Preservative 10ml 134626 *500/PK R09 Printer Paper w/ Quest Logo_ 8 x 11 141849 . Most test results are delivered to your MyQuest account within 3-5 business days. Blood Collection Blood Collection is the rst specimen, begin by drawing another partially-lled citrate tube. The corporation must pay an excise tax on its gross receipts from the sale of telecommunication services under Article No or P. O. Use the instructions below to start using our professional PDF editor: pdfFiller makes working with documents easier than you could ever imagine. 1 hours ago Quest lab order form - jwelwll's soup Quest lab order form. Has your doctor created a COVID-19 test order with Quest for you already? a Claims analysis. No call rate refers to the percentage of samples for which results could not be reported. Email [email protected] or call 1.888.445.5011. Find the right form for you and fill it out: No results. To find it, go to the AppStore and type signNow in the search field. Quest Diagnostics was honored to collaborate with Choose Health Life and the United Way of New York City on the Choose Healthy Life Black Clergy Conclave. Brooklyn 99 Kobe, Somebody Once Told Me Shrek Lyrics, Eric Cotsen Wife, Michigan Hot Dog Brands, Anuradha Singh Kunal Singh Wife, Nypd Blue Final Episode, Mount Sinai Employee Health, Ryan Hurst Instagram, Pi Kappa Phi Reputation, Ls2 Supercharger Kit, Donkmaster Racing 2021 Schedule, Micro . Testing will only be performed on single order choices that are marked off. You may try it out for yourself by signing up for an account. signNow has paid close attention to iOS users and developed an application just for them. Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Learn more Find a lab test Access patient results Coverage and coding Log in to Quanum Powering affordable care to help you deliver better outcomes The Government also delivers key programs such as: the Canada Health Transfer, the Canada Social Transfer, the Canadian Food Inspection Agency, the Canadian International Development Agency, and the Canadian Institutes of Health Research, which complement other initiatives to improve health in Canada. Forms management | Quest Diagnostics Forms management Elevate your forms strategy across the enterprise Forms management Forms management in Quanum Enterprise Content Solutions enables the creation and management of forms via the Intelligent eForms and Forms On-demand features. 01. QUEST DIAGNOSTICS LABORATORY . Please contact the Quest Diagnostics Connectivity Help Desk for more information at 800-697-9302. If you can't find an answer to your question, please contact us. signatures for signing a quest lab requisition form in pdf format signnow has paid close attention to ios users and developed an application just for . Select it in the list of your records. QUEST DIAGNOSTICS ORDER SUPPLIES PDF. Find the one you need, fill it out in our editor, and easily e-sign it online. After you have placed at least one supply order, you can view your order history, including order details and shipment tracking information. Link: Download Quest lab order form. . To open your quest diagnostics supply order form pdf, upload it from your device or cloud storage, or enter the document URL. Your doctor may prescribe lab testing as part of your visit. QNatal Advanced is a noninvasive cell-free DNA (cfDNA) prenatal screen that screens for the most common fetal aneuploidies, including Down syndrome. Set up an account. You can also quickly reorder the same supplies contained in an order that you have placed previously. 2019 Daily-catalog.com. afB`Le3@$/0;d4/L k X$a ? 2 Get ready the form With questhealth, you can purchase your tests and schedule your DLO visit through the user-friendly website and receive your secure and private lab results in as little as 24 hours. Please review the frequently asked questions below. h Arizona law allows you to order laboratory testing from a licensed clinical laboratory without your doctor's request. Find Lab Near You. quest diagnostics all of the phlebotomy positions at sonora quest laboratories quest diagnostics order forms quest labs online chain of COLLECTION/TRANSPORTATION OF SPECIMENS REFERRED TO QUEST DIAGNOSTICS FOR TESTING. 3. Provider Portal Browse the listing of clinical integration through electronic data interchange. Post-Mono Blood. Home. QNatal Advanced is not recommended before 10 weeks gestation due to a significantly increased risk of a failed result. ALL HAND-PAINTED ITEMS INCLUDING ALL NECK AND SHOULDER PADS, TUBE, SST, MANTLE, CRYSTAL, ROUX. Orders are routed automatically to our Specialty Testing Services (STS) team who works with a patients health plan to determine coverage and need for prior authorization. I am currently treating the patient identified below, and I am requesting the following laboratory test result(s) for that patient, which were ordered byordered The information provided by the ordering clinician may not be sufficient to accurately match the information you provide on this request formrecords will be identified Failure to .
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quest diagnostics lab order form pdf