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3800 S. Business Park Ave Marsh field, WI 54449 Phone: 7153870484 Fax: 7153843661 Office use only Andon Test Requisition (revised 3/14/16) Requesting Provider Instructions: This form should be used
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How to fill out instructions add-on test requisition
Who needs instructions add-on test requisition?
01
Medical professionals: Instructions add-on test requisition is typically needed by medical professionals, such as doctors, nurses, or laboratory technicians. They may need to fill out the requisition form to request specific tests or additional instructions for a patient's medical tests.
02
Patients: In some cases, patients may also need instructions add-on test requisition. This could be when they have been instructed by their healthcare provider to request specific tests or when they have been advised to provide additional instructions for their tests.
How to fill out instructions add-on test requisition?
01
Start by gathering the necessary information: Before filling out the instructions add-on test requisition, ensure you have all the relevant information. This includes the patient's name, date of birth, contact information, and any specific test requests or instructions that need to be provided.
02
Complete the patient information section: On the requisition form, there will be a section dedicated to capturing the patient's information. Fill out the patient's full name, date of birth, and contact details accurately. This information is essential for accurate identification and communication purposes.
03
Specify the additional instructions or test requests: In the applicable section of the form, clearly state the additional instructions or test requests that need to be included. Provide as much detail as possible to ensure that the laboratory or healthcare provider understands the requirements accurately.
04
Provide supporting documentation if required: Some test requisitions may require supporting documentation, such as previous test results or medical history. If necessary, ensure that these documents are attached to the requisition form to provide the complete context for the requested tests or instructions.
05
Review and double-check: Before submitting the instructions add-on test requisition, review all the information provided. Ensure that there are no errors, missing details, or confusion in the instructions. Double-check the patient's information, test requests, and supporting documentation, if any, to avoid any potential issues or delays.
06
Submit the requisition form: Once the form is filled out completely and reviewed, submit it to the designated department or laboratory. Follow any specific instructions or protocols provided by the healthcare provider or organization to ensure a smooth submission process.
By following these steps, medical professionals and patients can effectively fill out and submit instructions add-on test requisition forms while ensuring accurate and timely communication of their test requests or instructions.
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What is instructions add-on test requisition?
Instructions add-on test requisition is a form used to request additional testing instructions for a particular test.
Who is required to file instructions add-on test requisition?
The requesting healthcare provider or laboratory is required to file instructions add-on test requisition.
How to fill out instructions add-on test requisition?
The form can be filled out by providing necessary patient and test information, along with specific instructions for the test.
What is the purpose of instructions add-on test requisition?
The purpose of instructions add-on test requisition is to ensure proper handling and processing of a specific test based on additional instructions provided.
What information must be reported on instructions add-on test requisition?
Information such as patient name, test name, additional instructions required, and healthcare provider or laboratory contact information must be reported on instructions add-on test requisition.
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