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GENETICS CENTER 211 South Main Street, Suite E Orange, CA 92868 Phone: (714) 2883500 Fax: (714) 2883510 TEST REQUISITION FORM (See Reverse Side for Specimen Collection Procedures) Patient Information
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How to fill out laboratory requisition form-mar 2011

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How to fill out laboratory requisition form-mar 2011:

01
Begin by carefully reading the instructions provided on the form. Make sure you understand the purpose of the form and any specific requirements for completing it.
02
Start by filling in your personal information accurately. This typically includes your full name, date of birth, contact information, and any other details requested, such as your address or patient identification number.
03
Next, provide information about the healthcare provider who ordered the laboratory tests. Include their name, contact details, and any other relevant information that is requested.
04
Indicate the specific tests or investigations that are being requested on the requisition form. You may need to check boxes or provide codes for the tests you require. Make sure to provide as much detail as possible to avoid any confusion.
05
If applicable, specify any special instructions or considerations for the laboratory. For example, if fasting is required before certain tests, indicate the specific duration of the fasting period.
06
Sign and date the form to certify that the information provided is accurate to the best of your knowledge. It is essential to ensure the requisition form is properly signed and dated to avoid any delays or complications in processing your request.

Who needs the laboratory requisition form-mar 2011?

01
Patients who have been referred by a healthcare provider for specific laboratory tests or investigations require the laboratory requisition form-mar 2011.
02
Healthcare providers, including doctors, nurses, and other medical professionals, need the form to accurately request and authorize the necessary laboratory tests for their patients.
03
Laboratories and their staff members require the form to ensure accurate processing and documentation of the requested tests. It assists them in conducting the appropriate analyses and providing the results to the referring healthcare provider.
Note: The specific individuals or organizations who may need the laboratory requisition form-mar 2011 can vary depending on the specific healthcare system, country, or institution. It is essential to verify the requirements and guidelines of your particular healthcare provider or laboratory.
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The laboratory requisition form-mar is a document used to request specific tests or analyses to be performed in a laboratory setting.
Healthcare professionals, researchers, or individuals needing laboratory testing are required to file the laboratory requisition form-mar.
The laboratory requisition form-mar should be filled out with the required information such as patient details, tests needed, physician's information, and any other relevant data.
The purpose of the laboratory requisition form-mar is to ensure accurate and timely processing of requested tests in a laboratory setting.
Information such as patient's name, date of birth, desired tests, requesting physician's name, and contact information must be reported on the laboratory requisition form-mar.
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