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Special Diagnostic Chemistry Albany Medical Center 43 New Scotland Avenue Albany, NY 12208 pH: 23519 Fax: 28257 MR#: Pt. Name: DOB: Pt. Location: Inpatient Cytogenetics Requisition Coll Date: Coll
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How to fill out 04 inpatient cytogenetics requisitiondoc
How to fill out 04 inpatient cytogenetics requisitiondoc:
01
Start by entering the patient's information accurately, including their full name, date of birth, and medical record number.
02
Next, indicate the patient's demographics, such as gender and ethnicity.
03
Provide the date and time the sample was collected in the designated section.
04
Mark whether the sample is a bone marrow aspirate, peripheral blood, or another type of specimen.
05
Specify the reason for ordering the cytogenetic analysis, such as suspected genetic abnormalities or monitoring treatment effectiveness.
06
If applicable, indicate the primary diagnosis or condition related to the requested testing.
07
Fill in the details of the healthcare provider, including their name, contact information, and NPI (National Provider Identifier) number.
08
Include any relevant clinical history that may assist the laboratory in interpreting the results.
09
Indicate any specific laboratory requests or special instructions, if necessary.
10
Sign and date the requisition form to validate the order.
Who needs 04 inpatient cytogenetics requisitiondoc:
01
Medical professionals who suspect genetic abnormalities or need to monitor treatment effectiveness may require the 04 inpatient cytogenetics requisitiondoc.
02
Physicians, oncologists, or hematologists responsible for evaluating patients' genetic profiles or persisting cytogenetic conditions may need this requisition form.
03
Hospitals or healthcare facilities offering cytogenetic testing services could utilize the 04 inpatient cytogenetics requisitiondoc to gather necessary information for accurate analysis.
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What is 04 inpatient cytogenetics requisitiondoc?
04 inpatient cytogenetics requisitiondoc is a form used to request cytogenetics testing for patients who are admitted to the hospital.
Who is required to file 04 inpatient cytogenetics requisitiondoc?
The healthcare provider responsible for the patient's care is required to file the 04 inpatient cytogenetics requisitiondoc.
How to fill out 04 inpatient cytogenetics requisitiondoc?
To fill out the 04 inpatient cytogenetics requisitiondoc, the healthcare provider must provide the patient's personal information, medical history, reason for testing, and any relevant clinical details.
What is the purpose of 04 inpatient cytogenetics requisitiondoc?
The purpose of the 04 inpatient cytogenetics requisitiondoc is to ensure that proper cytogenetics testing is requested for patients who are admitted to the hospital.
What information must be reported on 04 inpatient cytogenetics requisitiondoc?
The 04 inpatient cytogenetics requisitiondoc must include the patient's name, date of birth, medical record number, reason for testing, and any relevant clinical information.
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