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Northern Regional Genetics Program Genetics Laboratory Sudbury Regional HospitalChromosomal Analysis Requisition Form Sampling date: 41 Ramsey Lake Rd, Sudbury ON P3E 5J1 Tel.:(705)6754782 Fax:(705)6754776
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How to fill out sudbury cytogenetic requisition
How to fill out sudbury cytogenetic requisition
01
To fill out the Sudbury cytogenetic requisition form, follow these steps:
02
Start by providing your personal information such as your name, date of birth, and contact details.
03
Indicate the reason for the cytogenetic testing, whether it is for prenatal diagnosis, postnatal diagnosis, or other reasons.
04
Specify the specimen type being submitted for analysis. It could be blood, bone marrow, or other tissues.
05
Include the date and time of specimen collection.
06
Provide any relevant clinical information or indication for the test.
07
Indicate the referring physician or healthcare professional's details, including their name, address, and contact information.
08
If applicable, include any additional relevant information or special requests.
09
Sign and date the requisition form to authorize the testing.
10
Submit the completed requisition form along with the specimen to the Sudbury cytogenetic laboratory.
Who needs sudbury cytogenetic requisition?
01
The Sudbury cytogenetic requisition form is typically required by individuals who need cytogenetic testing for various reasons such as:
02
- Individuals undergoing prenatal testing for genetic abnormalities.
03
- Individuals suspected of having chromosomal disorders or genetic syndromes.
04
- Individuals who require postnatal genetic testing for diagnostic purposes.
05
The requisition form is usually filled out by referring physicians or healthcare professionals who recommend the cytogenetic testing for their patients.
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What is sudbury cytogenetic requisition?
Sudbury cytogenetic requisition is a form used to request cytogenetic testing for various genetic disorders.
Who is required to file sudbury cytogenetic requisition?
Healthcare providers such as doctors, genetic counselors, and specialists are required to file sudbury cytogenetic requisition on behalf of their patients.
How to fill out sudbury cytogenetic requisition?
To fill out sudbury cytogenetic requisition, healthcare providers need to provide patient information, requested tests, reason for testing, and relevant medical history.
What is the purpose of sudbury cytogenetic requisition?
The purpose of sudbury cytogenetic requisition is to facilitate the ordering and processing of cytogenetic tests to diagnose genetic disorders.
What information must be reported on sudbury cytogenetic requisition?
Information such as patient demographics, medical history, reason for testing, requested tests, and healthcare provider information must be reported on sudbury cytogenetic requisition.
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