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MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES
STATE PUBLIC HEALTH LABORATORYSavePrintEmailReset101 N. CHESTNUT
JEFFERSON CITY, MO 65101
(573) 7514830
FAX: (573) 5228210REQUISITION FOR LABORATORY
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How to fill out requisition for laboratory specimen
How to fill out requisition for laboratory specimen
01
Start by obtaining the requisition form for laboratory specimen from the laboratory or healthcare provider.
02
Fill in your personal information such as your name, date of birth, gender, contact information, and identification number if required.
03
Provide detailed information about the test or tests you are requesting. Include the name of the test, any specific instructions or requirements, and the reason for the test if necessary.
04
If you have a healthcare provider, make sure to provide their name, contact information, and any other relevant details.
05
If applicable, provide information about your insurance coverage to facilitate billing.
06
Read and understand any instructions or disclaimers provided on the requisition form.
07
Review the completed form to ensure all the required information is provided and legible.
08
Sign and date the requisition form to acknowledge your consent and understanding.
09
Submit the completed requisition form to the designated laboratory or healthcare provider.
10
Keep a copy of the requisition form for your records.
Who needs requisition for laboratory specimen?
01
Anyone who needs to undergo laboratory testing or diagnostic procedures may require a requisition for laboratory specimen.
02
This can include individuals seeking routine check-ups, patients with symptoms or medical conditions that require further examination, individuals participating in clinical research studies, and individuals preparing for surgical procedures.
03
Healthcare providers such as doctors, nurses, and other medical professionals also require requisitions to order specific tests for their patients.
04
In general, anyone seeking laboratory services or medical investigations would need a requisition for laboratory specimen.
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What is requisition for laboratory specimen?
Requisition for laboratory specimen is a formal request for the collection and analysis of biological samples in a laboratory setting.
Who is required to file requisition for laboratory specimen?
Healthcare professionals, researchers, or physicians may be required to file requisition for laboratory specimen.
How to fill out requisition for laboratory specimen?
Requisition for laboratory specimen can be filled out by providing patient information, type of specimen to be collected, tests to be performed, and any relevant medical history.
What is the purpose of requisition for laboratory specimen?
The purpose of requisition for laboratory specimen is to ensure accurate collection and analysis of biological samples for diagnostic or research purposes.
What information must be reported on requisition for laboratory specimen?
Information such as patient name, date of birth, medical record number, type of specimen, tests requested, date and time of collection, and ordering physician's information must be reported on requisition for laboratory specimen.
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