OR Legacy Laboratory Services Prenatal Screening Requisition 2016 free printable template
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Legacy Laboratory Services 1225 NE 2nd Ave Portland, Or 97232 pH: 5034131234 FX: 5034135048 pH: 18772705566 FX: 18004940252 PRENATAL SCREENING REQUISITION NOTICE: Patients are responsible to use a
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How to fill out OR Legacy Laboratory Services Prenatal Screening Requisition
01
Obtain the OR Legacy Laboratory Services Prenatal Screening Requisition form.
02
Fill in the patient's personal information including name, date of birth, and insurance details.
03
Indicate the expected due date and the gestational age of the pregnancy.
04
Select the appropriate tests required for the prenatal screening.
05
Provide clinical information and any relevant medical history.
06
Sign and date the requisition form.
07
Submit the completed form along with any required samples to the laboratory.
Who needs OR Legacy Laboratory Services Prenatal Screening Requisition?
01
Pregnant individuals who require prenatal screening to assess the risk of chromosomal abnormalities and other conditions.
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What is OR Legacy Laboratory Services Prenatal Screening Requisition?
The OR Legacy Laboratory Services Prenatal Screening Requisition is a document used by healthcare providers to request prenatal screening tests for expectant mothers, helping to assess the health of both the mother and the fetus.
Who is required to file OR Legacy Laboratory Services Prenatal Screening Requisition?
Healthcare providers, such as obstetricians, midwives, or family doctors, are required to file the OR Legacy Laboratory Services Prenatal Screening Requisition on behalf of their patients who are undergoing prenatal care.
How to fill out OR Legacy Laboratory Services Prenatal Screening Requisition?
To fill out the OR Legacy Laboratory Services Prenatal Screening Requisition, providers should complete the patient’s personal information, including name, date of birth, and medical history, and indicate the specific tests being requested, ensuring all required fields are filled out accurately.
What is the purpose of OR Legacy Laboratory Services Prenatal Screening Requisition?
The purpose of the OR Legacy Laboratory Services Prenatal Screening Requisition is to facilitate the collection and analysis of blood tests and other screenings that help identify potential health risks and genetic conditions in the developing fetus, thereby improving prenatal care.
What information must be reported on OR Legacy Laboratory Services Prenatal Screening Requisition?
The information that must be reported on the OR Legacy Laboratory Services Prenatal Screening Requisition includes the patient's demographic details, medical history, gestational age, and specific tests requested, as well as the provider's contact information.
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