Get the free HLA Laboratory Request Affix Patient AddressographStamp - emoryhealthcare

Client # () Client Name: Affix Patient Addressograph/Stamp here HLA Laboratory Request: Consoled Organ Required Patient Information: PATIENT / DONOR NAME (Please circle one and print clearly) Last

How to fill out hla laboratory request affix

How to fill out HLA laboratory request affix:

1. Start by writing your personal information: Include your full name, date of birth, and contact details such as phone number and email address. This information is important for the laboratory to correctly identify you and communicate the results.
2. Provide your healthcare provider's information: Write down the name and contact details of the healthcare professional who is requesting the HLA laboratory test. This ensures that the results are sent back to your healthcare provider for interpretation and further action, if necessary.
3. Specify the reason for the HLA laboratory test: Clearly state the purpose of the test or the medical condition for which the test is being requested. This information helps the laboratory in determining the appropriate testing and interpretation.
4. Indicate any relevant medical history: If you have any known medical conditions, allergies, or previous relevant test results, mention them on the laboratory request. This information can provide context to the laboratory and aid in the interpretation of the test results.
5. Include any additional instructions or requirements: If there are any specific instructions or requirements for the laboratory test, such as fasting prior to the test or specific blood collection procedures, make sure to include them in the request. This helps ensure accurate and meaningful results.

Who needs HLA laboratory request affix:

1. Patients undergoing organ or tissue transplantation: The HLA laboratory request affix is commonly used in patients undergoing organ or tissue transplantation. This test helps assess compatibility between the donor and recipient by analyzing the human leukocyte antigen (HLA) system. This is crucial for successful transplantation outcomes and reducing the risk of organ rejection.
2. Individuals with autoimmune diseases: HLA testing is also useful in individuals with autoimmune diseases such as rheumatoid arthritis, lupus, or celiac disease. This test can aid in the diagnosis, prognosis, and management of these conditions.
3. Patients requiring blood transfusions: In certain situations, HLA testing may be needed for patients who require blood transfusions. This helps identify compatible blood products that minimize the risk of transfusion reactions and complications.

In summary, filling out an HLA laboratory request affix involves providing personal and healthcare provider information, specifying the reason for the test, mentioning relevant medical history, and including any instructions or requirements. This form is typically needed for patients undergoing organ or tissue transplantation, individuals with autoimmune diseases, and those requiring blood transfusions.

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