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CYTOGENETICS REQUISITION Collected by Date NIGH Patient: Out 4001 Leslie St., 3SE Toronto, ON M2K 1E1 Tel: (416) 7566240 Fax: (416) 7564729 www.nygh.on.ca Ward In Outside Referrals (Hosp./Lab) Patient
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How to fill out cytogenetics requisition 4001 Leslie:

01
Start by providing your personal information, including your name, date of birth, and contact details. Make sure to double-check the accuracy of this information.
02
Indicate the reason for the cytogenetics requisition, whether it is for diagnostic purposes, follow-up, or research.
03
Specify the source of the sample being submitted for analysis, whether it is blood, bone marrow, tissue, or other types.
04
Provide relevant clinical information, such as the patient's medical history, previous test results, and any specific symptoms or abnormalities observed.
05
Include information about the referring physician or healthcare provider, including their name, contact details, and any specific instructions or preferences they may have.
06
If applicable, indicate any additional tests or techniques that need to be performed on the sample. This may include fluorescence in situ hybridization (FISH), polymerase chain reaction (PCR), or microarray analysis.
07
Specify the desired turnaround time for the test results, if any.
08
Ensure that all sections of the requisition form are filled out completely and accurately. Incomplete or incorrect information may delay the testing process.
09
Once you have completed the form, review it thoroughly to ensure there are no errors or missing information. Make any necessary revisions before submitting it.
10
Keep a copy of the completed requisition form for your records.

Who needs cytogenetics requisition 4001 Leslie:

01
Patients who require further genetic analysis to determine chromosomal abnormalities or genetic disorders.
02
Healthcare providers or physicians who need to investigate potential genetic conditions, assess the risk of specific genetic disorders, or monitor disease progression.
03
Researchers conducting studies or clinical trials that involve genetic analysis and require cytogenetics testing.
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Cytogenetics requisition 4001 leslie is a form used to request cytogenetic testing on patient samples.
Cytogenetics requisition 4001 leslie must be filed by healthcare providers or researchers requesting cytogenetic testing.
Cytogenetics requisition 4001 leslie should be filled out by providing patient information, test request details, and relevant clinical information.
The purpose of cytogenetics requisition 4001 leslie is to request cytogenetic testing to analyze the chromosomes of a patient for genetic abnormalities.
Cytogenetics requisition 4001 leslie must include patient demographics, referring physician information, clinical history, reason for testing, and specimen details.
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