Get the free Cytogenetics Laboratory Requisition

Cytogenetics Laboratory Requisition Eastern Ontario Regional Genetics Program 401 Smith Road, Rm w3403 Ottawa, ON, K1H 8L1 Tel: (613) 7372554 Fax: (613) 7384814 www.cheo.on.ca (under Programs & Services

How to fill out cytogenetics laboratory requisition

How to fill out a cytogenetics laboratory requisition:

1. Start by entering the patient's information accurately and legibly. This includes the patient's full name, date of birth, gender, and any other relevant identification details.
2. Provide the referring physician's information, including their full name, contact details, and any necessary identifying information such as their medical license number.
3. Specify the reason for the cytogenetics laboratory requisition. This can be done by indicating the suspected or diagnosed condition that requires genetic testing or any specific testing requests.
4. Indicate the type of sample being submitted for analysis. Common samples include blood, bone marrow, skin biopsy, or other tissue samples. Clearly state the source of the sample and any additional pertinent details.
5. If available, include the clinical history or relevant medical information that may assist the laboratory in interpreting the test results accurately. This can include information such as previous genetic testing results, family history, or any specific concerns or symptoms the patient may have.
6. Provide insurance or billing information, if required. Include the patient's insurance provider, policy number, and any necessary authorizations or pre-approvals that may be needed.
7. Finally, sign and date the requisition form. This confirms the accuracy of the provided information and serves as a legal acknowledgment of the request.

Who needs a cytogenetics laboratory requisition:

1. Patients who have exhibited specific genetic traits, symptoms, or conditions that require further investigation through cytogenetic analysis.
2. Referring physicians who suspect or wish to confirm a genetic abnormality in their patient. These may include geneticists, pediatricians, oncologists, or other specialists who are involved in the patient's care.
3. Researchers or scientists who require cytogenetic testing for their studies or experiments.

Note: The need for a cytogenetics laboratory requisition may vary depending on the specific medical situation and the recommendations of the healthcare provider involved. It is always best to consult with a healthcare professional to determine if genetic testing is necessary and the appropriate steps to take.

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What is cytogenetics laboratory requisition?

Cytogenetics laboratory requisition is a form requesting laboratory testing to analyze chromosomes in order to detect genetic abnormalities.

Who is required to file cytogenetics laboratory requisition?

Cytogenetics laboratory requisition can be filed by healthcare providers, physicians, genetic counselors, or other medical professionals.

How to fill out cytogenetics laboratory requisition?

Cytogenetics laboratory requisition should be filled out with patient information, reason for testing, healthcare provider's details, and any pertinent medical history.

What is the purpose of cytogenetics laboratory requisition?

The purpose of cytogenetics laboratory requisition is to diagnose genetic disorders, identify chromosomal abnormalities, and plan appropriate medical management.

What information must be reported on cytogenetics laboratory requisition?

Information such as patient's name, date of birth, medical history, reason for testing, healthcare provider's name and contact information must be reported on cytogenetics laboratory requisition.