CA Sun Clinical Laboratories Laboratory Request Form 2015 free printable template

SUN 1110 Monterey Pass Rd. M.P., CA 91754 (323) 4156611 210 N. Garfield Ave., #216 M.P., CA 91754 (626) 5739113 NAME (LAST) FIRST MIDDLE 500 N. Garfield Ave., #206A M.P., CA 91754 (626) 5733311 625

How to fill out CA Sun Clinical Laboratories Laboratory Request

How to fill out CA Sun Clinical Laboratories Laboratory Request Form

1. Obtain the CA Sun Clinical Laboratories Laboratory Request Form from their website or location.
2. Fill in the patient's personal information, including name, date of birth, and contact details.
3. Specify the ordering physician's name and contact information.
4. Choose the tests you want to be performed by checking the relevant boxes or writing them in the designated area.
5. Provide any necessary clinical information or special instructions for the laboratory.
6. Include insurance information if applicable, along with the reason for the tests.
7. Review the form for accuracy and completeness.
8. Sign and date the form at the bottom.

Who needs CA Sun Clinical Laboratories Laboratory Request Form?

1. Healthcare providers such as doctors and specialists who require laboratory tests for their patients.
2. Patients who need to have their samples tested in a clinical laboratory.

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What is CA Sun Clinical Laboratories Laboratory Request Form?

The CA Sun Clinical Laboratories Laboratory Request Form is a document used by healthcare providers to request laboratory tests and procedures from CA Sun Clinical Laboratories.

Who is required to file CA Sun Clinical Laboratories Laboratory Request Form?

Healthcare professionals such as doctors, nurse practitioners, and physician assistants who order laboratory tests for patients are required to file the CA Sun Clinical Laboratories Laboratory Request Form.

How to fill out CA Sun Clinical Laboratories Laboratory Request Form?

To fill out the CA Sun Clinical Laboratories Laboratory Request Form, providers must provide patient information, select the appropriate tests to be performed, and include any special instructions or relevant clinical information.

What is the purpose of CA Sun Clinical Laboratories Laboratory Request Form?

The purpose of the CA Sun Clinical Laboratories Laboratory Request Form is to facilitate the accurate and efficient processing of laboratory tests, ensuring that the laboratory has all necessary information to perform the tests correctly.

What information must be reported on CA Sun Clinical Laboratories Laboratory Request Form?

The information that must be reported on the CA Sun Clinical Laboratories Laboratory Request Form includes patient demographics (name, date of birth, ID number), ordering clinician's information, the specific tests requested, and any relevant clinical history.