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Hematology Diagnostic Service Request Form 8217 Inquiries: Immunophenotypic 0121 424 0704; Molecular Hematology 0121 424 3704 www.heftpathology.com Please complete ALL Sections Patient details: PID
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How to fill out haematology diagnostic service request

How to fill out a haematology diagnostic service request:
01
Start by gathering all the necessary patient information, such as name, date of birth, and contact information. This will ensure that the test results are accurately linked to the correct individual.
02
Next, provide the reason for the haematology diagnostic service request. Clearly state the symptoms or medical condition that require the need for haematology testing. This will help the healthcare provider understand the specific purpose of the test.
03
Specify the type of haematology test that is required. There are various types of haematology tests available, including complete blood count (CBC), blood clotting tests, and blood cell morphology evaluations. Make sure to indicate the specific test needed for accurate diagnosis.
04
Indicate any additional details that may be relevant. This could include specific test requirements, such as fasting before the blood draw or any medications the patient is currently taking that may impact the test results.
05
Provide the healthcare provider's information, including their name, contact details, and any additional notes or instructions they may need to know. This will ensure that the test results are sent to the correct healthcare professional and that any necessary follow-up can be conducted.
Who needs a haematology diagnostic service request?
A haematology diagnostic service request may be necessary for various individuals, including:
01
Patients who are experiencing unexplained symptoms such as fatigue, weakness, or abnormal bleeding. Haematology tests can help identify underlying conditions such as anaemia, blood clotting disorders, or infections.
02
Individuals with known blood disorders or conditions that require ongoing monitoring, such as haemophilia or sickle cell disease. Regular haematology testing helps healthcare providers manage these conditions effectively.
03
Patients who are undergoing certain medical treatments, such as chemotherapy or radiation therapy. Haematology tests can help monitor the impact of these treatments on blood cell counts and ensure the patient's safety and well-being.
In summary, anyone with symptoms or medical conditions that require a haematology evaluation, as determined by their healthcare provider, may need a haematology diagnostic service request.
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What is haematology diagnostic service request?
Haematology diagnostic service request is a document that healthcare providers use to request diagnostic tests related to blood disorders and diseases.
Who is required to file haematology diagnostic service request?
Healthcare providers such as doctors, nurses, and medical technicians are required to file haematology diagnostic service requests.
How to fill out haematology diagnostic service request?
Haematology diagnostic service requests should be filled out with patient information, specific tests requested, and relevant clinical history.
What is the purpose of haematology diagnostic service request?
The purpose of haematology diagnostic service request is to accurately diagnose and treat blood-related disorders and diseases.
What information must be reported on haematology diagnostic service request?
Patient's name, date of birth, medical history, tests requested, symptoms, and referring physician information must be reported on haematology diagnostic service requests.
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