Get the free Outpatient Laboratory Requisition - UBC CPD

Outpatient Laboratory Requisition (Anatomical Pathology requisitions see separate form) Laboratory Medicine Grey highlighted fields must be completed to avoid delays in specimen collection and patient

How to fill out outpatient laboratory requisition

Point by point guide to filling out an outpatient laboratory requisition:

1. Start by obtaining the necessary form from the healthcare provider or laboratory where the testing will be done. It is typically available at the reception or can be downloaded from their website.
2. Begin filling out the requisition form by entering your personal information accurately. This may include your full name, date of birth, address, contact number, and any other specific details required.
3. Next, provide your healthcare provider's information, such as their name, specialty, clinic or hospital name, and contact details. Ensure all the information is written clearly and legibly.
4. Indicate the type of laboratory test(s) you require by checking the appropriate box(es) or writing down the specific test(s) requested. This can be diagnostic tests, blood work, urine analysis, genetic testing, or any other test recommended by your healthcare provider.
5. If applicable, specify any additional instructions or indications for the laboratory, such as fasting requirements, prescribed medications to be taken prior to the test, or specific time frames for sample collection.
6. Double-check all the information provided on the requisition form for accuracy and completeness. Make sure there are no spelling errors or missing details that might cause confusion or delays in processing.
7. Depending on the healthcare facility, you may need to sign and date the requisition form to indicate your consent and agreement with the testing. Read through any consent statements carefully before signing.
8. After completing the form, keep a copy for your records. Some facilities may provide a duplicate copy to you, or you can take a clear photograph or make a photocopy of the filled-out requisition form before submitting it.

Who needs outpatient laboratory requisition?

1. Individuals who require diagnostic tests or laboratory investigations as part of their healthcare management.
2. Patients who have been referred by their healthcare provider for specific tests to aid in diagnosis, monitoring, or screening for various medical conditions.
3. Individuals participating in medical research studies or clinical trials that require regular laboratory testing.
4. Insurance companies or third-party payers requiring documentation of the services being rendered to validate coverage and reimbursement.
5. Employers performing pre-employment or occupational health screenings to ensure employee health and safety.
6. Students or athletes undergoing medical examinations for school, college, or sports-related activities.
7. Any individual who wants to proactively monitor their health or obtain specific laboratory tests for personal reasons.

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What is outpatient laboratory requisition?

Outpatient laboratory requisition is a form or document used to request specific laboratory tests for patients who are not admitted to a hospital.

Who is required to file outpatient laboratory requisition?

Healthcare providers such as doctors, nurses, or medical assistants are required to file outpatient laboratory requisition forms.

How to fill out outpatient laboratory requisition?

Outpatient laboratory requisition forms are filled out by providing patient information, requested tests, and any other relevant details. The form must be signed by the healthcare provider.

What is the purpose of outpatient laboratory requisition?

The purpose of outpatient laboratory requisition is to provide a clear and specific request for laboratory tests that will help in diagnosing and treating patients.

What information must be reported on outpatient laboratory requisition?

Information such as patient's name, date of birth, contact information, requested tests, healthcare provider's name and signature must be reported on outpatient laboratory requisition.