Get the free Core Lab Requestor - Spelman College - spelman

Core Lab Requestor Today's Date: Requestor: Phone Contact:

How to fill out core lab requestor

How to fill out core lab requestor:

1. Gather all necessary information: Make sure you have all the required patient and test information before filling out the core lab requestor form. This includes the patient's name, date of birth, identification number, and medical history.
2. Identify the specific tests needed: Determine which laboratory tests are required for the patient. Consult with the healthcare provider or refer to the medical order to accurately select the tests on the core lab requestor form. Double-check for any special instructions or specific panels needed.
3. Provide relevant patient information: Clearly write the patient's complete name, including their first name, last name, and middle initial, on the core lab requestor form. Input the patient's date of birth accurately to avoid any confusion. Provide additional identification details if necessary.
4. Fill out the test section: List the specific tests or test panels required by checking the appropriate boxes on the core lab requestor form. If there are any specific instructions related to the tests, such as fasting requirements or collection method preferences, make sure to include them on the form.
5. Include healthcare provider details: Write the name and contact information of the healthcare provider who is requesting the lab tests. This typically includes their full name, medical license number, and contact phone number. This information is crucial for proper communication and coordination.
6. Indicate the specimen source: Clearly specify the type and source of the specimen to be collected for the laboratory tests. Whether it's blood, urine, tissue, or any other type of specimen, mention it accurately on the core lab requestor form. If necessary, provide further details, such as the exact site or special collection instructions.
7. Review and verify: Before submitting the core lab requestor form, double-check all the entered information for accuracy and completeness. Ensure that all required fields are filled in correctly, and validate that the requested tests and specimen details are accurate.

Who needs core lab requestor:

1. Healthcare providers: Core lab requestors are primarily needed by healthcare providers, including doctors, nurses, and other medical professionals. They use the core lab requestor form to order specific laboratory tests for their patients, helping diagnose and monitor their health conditions.
2. Patients undergoing diagnostic tests: Patients who require diagnostic tests or laboratory examinations need core lab requestors. These requestors provide a means for healthcare providers to request the necessary tests and ensure accurate communication between the ordering provider and the laboratory.
3. Laboratories and lab technicians: Core lab requestors are essential for laboratories and lab technicians to receive clear instructions on the tests ordered by healthcare providers. The requestor form helps ensure the proper identification of patients, requested tests, and specimen sources, contributing to accurate and efficient testing processes.

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What is core lab requestor?

Core lab requestor is an individual or entity requesting services from a central laboratory for clinical trial testing.

Who is required to file core lab requestor?

The sponsor or principal investigator of a clinical trial is typically required to file the core lab requestor.

How to fill out core lab requestor?

The core lab requestor form typically requires information about the study protocol, testing services needed, and contact information.

What is the purpose of core lab requestor?

The purpose of core lab requestor is to initiate the process of obtaining testing services for a clinical trial.

What information must be reported on core lab requestor?

Information such as study protocol details, specific tests required, and contact information for the requestor must be reported on the core lab requestor form.