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CLINICAL LAB REQUEST PT. NO. UW MEDICINE CLINICAL IMMUNOLOGY LAB UW LAB ACC. # Print AMER Requisition NAME (Last, First) D.O.B. Completely fill in left section. M SSN: XXXIX NOTE: F Clear LOGGED IN
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How to fill out clinical lab request
01
To fill out a clinical lab request, begin by obtaining the necessary form from your healthcare provider or the laboratory where you will be receiving the tests.
02
Start by entering your personal information, including your name, date of birth, gender, and contact information. This ensures that the lab can accurately identify your samples and communicate the results to you or your healthcare provider.
03
Next, provide your healthcare provider's information, such as their name, specialty, and contact details. This allows the laboratory to communicate the test results directly with your provider for further evaluation and interpretation.
04
Indicate the specific tests that you require by writing them down clearly and accurately. Include any relevant details, such as the reason for the test or any specific instructions from your healthcare provider.
05
If you have any allergies or medical conditions that the laboratory should be aware of, make sure to include this information on the form. This allows the lab technicians to take appropriate precautions and ensure your safety during the testing process.
06
If there are any additional instructions or comments you need to provide, write them in the space provided on the form. This could include information about fasting requirements, medications you are currently taking, or any specific concerns you may have.
07
Finally, review the completed form to ensure that all the information provided is accurate and legible. Double-check that you have included all the necessary details and have signed the form if required.
Who needs a clinical lab request?
Anyone who requires laboratory testing as part of their healthcare management may need a clinical lab request. This can include individuals seeking a diagnosis, monitoring the progression of a condition, assessing treatment effectiveness, or conducting routine screenings. Healthcare providers, including doctors, nurse practitioners, and specialists, typically issue clinical lab requests based on their evaluation of a patient's symptoms, medical history, or specific concerns. These lab requests are then used by the laboratory to perform the requested tests and provide the necessary results to aid in the patient's diagnosis and treatment.
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What is clinical lab request?
Clinical lab request is a form or document used to request specific tests or procedures to be carried out by a clinical laboratory for diagnostic purposes.
Who is required to file clinical lab request?
Healthcare professionals such as doctors, nurses, or other authorized personnel are required to file clinical lab requests on behalf of patients.
How to fill out clinical lab request?
Clinical lab requests are typically filled out by providing patient information, requested tests, reason for testing, and any additional relevant details.
What is the purpose of clinical lab request?
The purpose of a clinical lab request is to facilitate the ordering and processing of diagnostic tests in order to assist in the diagnosis and treatment of medical conditions.
What information must be reported on clinical lab request?
Information that must be reported on a clinical lab request includes patient demographics, test(s) requested, reason for testing, healthcare provider information, and any relevant clinical history.
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