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Date of Birth: REF PHYSICIAN PHONE: Male. Female. New Diagnosis. Existing Diagnosis. Bone Marrow Biopsy — Send in 10% Buffered Formalin Container.
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How to fill out bone marrow requisition
How to fill out bone marrow requisition
01
Step 1: Start by obtaining a bone marrow requisition form from a healthcare professional or hospital.
02
Step 2: Fill out the patient's personal information accurately, including their full name, date of birth, and contact details.
03
Step 3: Provide the patient's medical history, including any previous bone marrow tests or treatments.
04
Step 4: Indicate the reason for the bone marrow requisition, such as suspected bone marrow disease or a need for further investigation.
05
Step 5: Specify any additional tests or procedures that may be required along with the bone marrow test.
06
Step 6: Include the healthcare provider's information, including their name, contact information, and signature.
07
Step 7: Double-check all the filled-out information for any errors or missing details.
08
Step 8: Submit the completed bone marrow requisition form to the appropriate laboratory or healthcare facility.
Who needs bone marrow requisition?
01
Patients who are experiencing symptoms or have medical conditions that warrant further investigation of the bone marrow may require a bone marrow requisition.
02
Individuals suspected of having bone marrow diseases, such as leukemia, lymphoma, or myeloma, may need to undergo a bone marrow test.
03
Patients who require a bone marrow transplant or are being considered for a potential bone marrow donation may also need a bone marrow requisition.
04
Healthcare providers may request a bone marrow requisition to gather more information about a patient's bone marrow function or to monitor the progress of certain treatments.
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