Get the free CLINICAL LAB REQUEST UW LAB ACC PT NO UW MEDICINE - depts washington

CLINICAL LAB REQUEST PT. NO. UW MEDICINE REFERENCE LABORATORY SERVICES Allergy Testing NAME (Last, First) M D.O.B. F REQUIRED SPECIMEN TYPE REQUIRED Plasma Serum DATE & TIME COLLECTED AM REQUIRED

How to fill out clinical lab request uw

How to fill out clinical lab request uw:

1. Obtain the necessary form: Start by obtaining the clinical lab request form from the appropriate source. This may be a physical copy provided by your healthcare provider or an online form that you can access on the official website of the University of Washington Medical Center.
2. Provide personal information: Begin by accurately filling out the personal information section of the form. This typically includes your full name, date of birth, contact information, and any relevant identification numbers such as your medical record number or social security number.
3. Indicate the ordering physician: Include the name and contact information of the healthcare provider who is ordering the laboratory tests. This is crucial for ensuring that the results are communicated back to the correct medical professional.
4. Specify desired tests: Carefully review the list of available tests on the form and mark the ones that your healthcare provider has recommended. It is essential to be accurate and clear about the specific tests you need to avoid any confusion or incorrect analysis.
5. Enter insurance information: If applicable, provide your insurance information on the form. This may include your insurance provider, policy number, group number, and any other relevant details. This information is necessary for proper billing and processing of the laboratory services.
6. Include additional notes or instructions: If there are any specific instructions or additional information that would assist the laboratory staff in handling your request, make sure to include it in the designated section of the form. This could include details about fasting requirements, allergies, or any other pertinent information.

Who needs clinical lab request uw?

1. Patients requiring medical tests: Individuals who need diagnostic tests or screenings as part of their medical evaluation or treatment plan may need to complete a clinical lab request form. This can include patients with both acute and chronic conditions, as determined by their healthcare provider.
2. Healthcare providers: Medical professionals such as physicians, nurse practitioners, or physician assistants who wish to order laboratory tests for their patients are required to fill out a clinical lab request form. This ensures proper documentation and authorization for the requested tests.
3. Authorized personnel: In some cases, certain authorized personnel within healthcare organizations, such as nurses or medical assistants, may be responsible for filling out clinical lab request forms on behalf of the ordering physician. This is typically done under the direction and supervision of the healthcare provider.

Please note that the specific requirements for filling out a clinical lab request uw may vary depending on the individual's situation and the policies of the University of Washington Medical Center. It is always recommended to consult with your healthcare provider or the laboratory staff for any specific instructions or guidelines.

For pdfFiller’s FAQs

What is clinical lab request uw?

Clinical lab request uw is a form used to request laboratory testing for medical purposes.

Who is required to file clinical lab request uw?

Healthcare providers, such as doctors or nurses, are required to file clinical lab request uw.

How to fill out clinical lab request uw?

Clinical lab request uw should be filled out with patient information, type of tests needed, and healthcare provider's details.

What is the purpose of clinical lab request uw?

The purpose of clinical lab request uw is to facilitate the ordering and processing of laboratory tests for diagnosing and monitoring medical conditions.

What information must be reported on clinical lab request uw?

On clinical lab request uw, patient's name, date of birth, tests needed, healthcare provider's name and contact information must be reported.

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