Get the free Haematology Diagnostic Service Request Form - heftpathology.com

8217Haematology Diagnostic Service Request Form Inquiries: Immunophenotypic 0121 424 0704; Molecular Hematology 0121 424 3704 www.heftpathology.com Please complete ALL Sections Patient details: PID

How to fill out haematology diagnostic service request

How to fill out haematology diagnostic service request

1. Start by collecting all relevant patient information, including their medical history, current medications, and any known allergies.
2. Fill out the patient's personal details, such as their name, date of birth, and contact information.
3. Specify the reason for the haematology diagnostic service request, whether it is for a routine check-up, a specific concern, or a follow-up on a previous condition.
4. Indicate the specific tests or procedures required, such as complete blood count, blood smear examination, coagulation profile, or bone marrow biopsy.
5. Provide any additional clinical information that may aid in the interpretation of the results, such as symptoms experienced by the patient or previous laboratory findings.
6. If applicable, include the name and contact information of the referring physician or healthcare provider.
7. Double-check all the provided information for accuracy and completeness before submitting the haematology diagnostic service request.
8. Submit the completed request through the relevant channel, whether it is an online portal, fax, or hand-delivery to the laboratory or healthcare facility.
9. Retain a copy of the submitted request for record-keeping purposes and future reference.

Who needs haematology diagnostic service request?

1. Haematology diagnostic service requests are needed by healthcare providers, such as doctors, hematologists, or nurses, who suspect or want to rule out blood-related disorders or diseases in their patients.
2. Patients who experience symptoms related to blood disorders, such as unexplained bruising, persistent fatigue, abnormal bleeding, frequent infections, or anemia, may also require haematology diagnostic service requests to assess their condition.
3. Additionally, individuals with existing blood disorders or undergoing treatment for such conditions may need haematology diagnostic service requests for regular monitoring and management of their health.

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