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Upon completion print and send, along with sample, to Hemostasis Reference Laboratory REQUEST FOR TESTING HEMOSTASIS REFERENCE LABORATORY is now 921 Terry Avenue Seattle WA 981041256 See NEXT PAGE
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How to fill out request for testing hemostasis

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How to fill out request for testing hemostasis:

01
Start by providing the necessary personal information, including your name, date of birth, and contact details. This will help the laboratory to correctly identify and communicate with you regarding the test results.
02
Specify the reason for the testing by stating the symptoms or medical condition that require hemostasis testing. This could include excessive bleeding, unexplained bruising, or a suspected bleeding disorder.
03
Indicate the urgency of the test if applicable. If there is a specific timeline or urgency for obtaining the test results, mention it clearly so that the laboratory can prioritize accordingly.
04
Provide a detailed medical history, including any relevant past medical conditions, surgeries, or medications you are currently taking. This information will help the laboratory to interpret and analyze the test results accurately.
05
Mention any specific tests or additional instructions that you may require. Hemostasis testing encompasses various tests such as clotting factor assays, platelet function tests, and fibrinogen tests. If you have been advised by a healthcare professional to undergo specific tests or if there are any specific instructions for the sample collection, make sure to mention them.
06
Include any relevant supporting documents or reports that may aid in the interpretation and analysis of the test results. If you have any previous medical reports, diagnostic imaging results, or relevant laboratory reports, attach them along with the request.

Who needs a request for testing hemostasis?

01
Individuals experiencing frequent or unexplained bleeding: This could include people who have prolonged or excessive bleeding during or after surgeries, women with heavy menstrual bleeding, or individuals with unexplained nosebleeds.
02
Patients with suspected bleeding disorders: Those who have a family history of bleeding disorders, a history of easy bruising, or have had complications related to bleeding after minor injuries may require testing for hemostasis.
03
Individuals with known medical conditions affecting hemostasis: People with conditions like hemophilia, Von Willebrand disease, or liver disease may need regular monitoring of their hemostasis parameters.
04
Preoperative and pre-procedure assessments: Before undergoing surgical procedures or invasive interventions, healthcare providers may request hemostasis testing to ensure adequate clotting function and minimize the risk of bleeding complications.
05
Follow-up testing: After starting or adjusting anticoagulant or antiplatelet medications, repeat hemostasis testing may be requested to monitor the effectiveness of the treatment and adjust the dosage if necessary.
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Request for testing hemostasis is a formal document submitted to a healthcare provider requesting evaluation of blood clotting abilities.
Healthcare providers, doctors, or medical professionals are required to file a request for testing hemostasis.
Request for testing hemostasis can be filled out by providing patient information, reason for testing, and relevant medical history.
The purpose of request for testing hemostasis is to assess and diagnose any potential blood clotting disorders.
Information such as patient's name, date of birth, medical history, medications, and reason for testing must be reported on request for testing hemostasis.
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