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Laboratory Request Please fax results to 9042258637 (This is a secure fax machine) Date: Client Name: Date of Birth: Diagnosis: Circle one: Fasting Nonfasting CBC (diff/plat) CMP TSH w/reflex T4 Lipid

How to fill out laboratory request 904-225-8637

How to fill out laboratory request 904-225-8637:

1. Start by carefully reviewing the laboratory request form. Ensure that it is the correct form and has the necessary information fields.
2. Begin by providing your personal information, such as your full name, contact details, and any relevant identification numbers.
3. Next, provide the required information about the patient for whom the laboratory tests are being requested. This may include their full name, date of birth, gender, and any other relevant demographic details.
4. Specify the type of laboratory tests that are being requested. Be as specific as possible, including any specific panels, tests, or markers that are required.
5. If applicable, indicate any specific instructions or special considerations for the laboratory tests. For example, if the patient needs to fast prior to certain tests, make sure to mention it.
6. If there are any specific date and time requirements for the laboratory tests, indicate them as well.
7. Ensure that you have provided all the necessary information requested on the form. Double-check for any errors or omissions before submitting the laboratory request.
8. Finally, sign the laboratory request form, confirming that the information provided is accurate to the best of your knowledge.

Who needs laboratory request 904-225-8637:

1. Patients who require specific laboratory tests in order to diagnose or monitor their medical condition.
2. Healthcare professionals, such as doctors, nurses, or other medical practitioners, who are responsible for ordering the necessary laboratory tests for their patients.
3. Medical laboratories or diagnostic centers that have been authorized to perform the requested tests and require the laboratory request form for processing and conducting the tests accurately.

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What is laboratory request 904-225-8637?

Laboratory request 904-225-8637 is a form used to request specific tests to be conducted in a laboratory.

Who is required to file laboratory request 904-225-8637?

The healthcare provider or physician ordering the tests is required to file laboratory request 904-225-8637.

How to fill out laboratory request 904-225-8637?

Laboratory request 904-225-8637 must be filled out by providing patient information, requested tests, and any other relevant details.

What is the purpose of laboratory request 904-225-8637?

The purpose of laboratory request 904-225-8637 is to ensure specific tests are conducted accurately and efficiently.

What information must be reported on laboratory request 904-225-8637?

Information such as patient demographics, test codes, and any special instructions must be reported on laboratory request 904-225-8637.