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PROCTOR FOUNDATION UCSF MOLECULAR DIAGNOSTIC TESTING REQUEST FORM Microbiology and Molecular Diagnostic Laboratory 95 Kirk ham Street, room 302, San Francisco, Ca. 94143-0944 Phone (415)476-4584 F
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A requisition for molecular diagnostic is a formal request or order made by a healthcare provider to a laboratory or diagnostic facility for the performance of molecular diagnostic testing on a patient's sample.
Healthcare providers, such as physicians, nurse practitioners, or other authorized medical professionals, are typically required to file requisitions for molecular diagnostic tests on behalf of their patients.
The process of filling out a requisition for a molecular diagnostic test may vary depending on the specific healthcare provider and the laboratory or diagnostic facility. Generally, the healthcare provider will need to provide the patient's demographic information, relevant medical history, the specific molecular diagnostic test requested, and any additional instructions or relevant clinical information.
The purpose of a requisition for molecular diagnostic testing is to provide necessary information to the laboratory or diagnostic facility to accurately perform the requested molecular diagnostic test on a patient's sample. It ensures that the appropriate test is performed and that the results are interpreted in the context of the patient's clinical presentation.
The information that must be reported on a requisition for molecular diagnostic may include the patient's name, date of birth, gender, contact information, relevant medical history, the specific molecular diagnostic test requested, any relevant clinical information, and the healthcare provider's information and signature.
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