Get the free Test requisition form In Service 11042011.ppt - pediatrics duke

Biochemical Genetics Laboratory: Test Request Form Biochemical Genetics Laboratory Duke University Hospital 801 Capitol Drive, Suite 6 Durham, NC 27713 Tel: 919 5490445 Fax: 9195490709 HTTP://pediatrics.duke.edu×lab

How to fill out test requisition form in

How to fill out test requisition form:

1. Gather the necessary information: Before filling out the test requisition form, make sure you have all the required information. This may include your personal details such as name, contact information, and date of birth. Additionally, you may need to provide the reason for the test, any relevant medical history, and the physician's information.
2. Understand the sections: Familiarize yourself with the different sections of the test requisition form. These sections may include patient information, test details, specimen collection instructions, billing information, and any additional comments or special instructions.
3. Provide accurate patient information: Begin by entering your personal details accurately. Double-check the spelling of your name, contact information, and date of birth. Ensuring that this information is correct is vital for accurate test results and communication.
4. Specify the test details: Indicate the type of test you are requesting by selecting the appropriate checkboxes or writing down the test names. If you are unsure about the specific test, consult your healthcare provider or refer to any instructions provided.
5. Follow specimen collection instructions: In this section, you may find instructions regarding how to collect the specimen required for testing. It could be a urine sample, blood sample, or any other type of specimen. Read the instructions thoroughly and follow them carefully to ensure proper collection and accurate results.
6. Provide billing information: If requested, fill out the section related to billing. This may include insurance policy details, referring physician information, and any special billing requirements. Make sure to provide accurate information to avoid any issues with payment or reimbursement.
7. Add any additional comments or instructions: If there are any specific instructions or comments you would like to convey to the laboratory, use the space provided in this section. This can include any information related to previous tests, allergies, or special requests.
8. Review the form: Before submitting the test requisition form, take a moment to review all the information you have provided. Ensure that everything is accurate, legible, and complete.

Who needs test requisition form:

1. Patients: Patients who require diagnostic or laboratory tests ordered by their healthcare provider need to fill out a test requisition form. This includes individuals seeking routine check-ups, those experiencing medical symptoms, or those undergoing treatment for a specific condition.
2. Healthcare providers: Physicians, specialists, or healthcare providers who order tests for their patients must complete a test requisition form. This is crucial for accurately documenting the requested tests, ensuring proper follow-up, and providing necessary information to the laboratory.
3. Laboratories: Laboratories that receive and process test samples rely on the information provided in the test requisition form. This helps them track the samples, perform the appropriate tests, and report the results back to the ordering healthcare providers and patients accurately.

For pdfFiller’s FAQs

What is test requisition form in?

Test requisition form is a document used to request a specific test or analysis to be performed.

Who is required to file test requisition form in?

Healthcare providers, doctors, or laboratories may be required to file a test requisition form.

How to fill out test requisition form in?

The test requisition form can be filled out by providing patient information, test requested, and relevant medical history.

What is the purpose of test requisition form in?

The purpose of the test requisition form is to ensure that the correct tests are requested for a patient and that all necessary information is provided.

What information must be reported on test requisition form in?

Patient demographics, test requested, relevant medical history, and signature of the healthcare provider.

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