Get the free Immunohematology Reference Lab Requisition

BloodCenter of Wisconsin does NOT bill patients or their insurance. Call 8002453117 ext. 6250 for your Client×. Person Completing Requisition Institution Dept Address City Phone (Lab)Client# Physician

How to fill out immunohematology reference lab requisition

How to fill out immunohematology reference lab requisition

1. Begin by gathering all the necessary information and materials, including the patient's name, medical record number, and date of birth.
2. Ensure that the type and screen or crossmatch order is clearly indicated on the requisition form.
3. Provide accurate information about the patient's blood type and any known antibodies.
4. Include relevant clinical information or notes that may be helpful for the laboratory staff in interpreting the results.
5. Complete the billing information section, including insurance information if applicable.
6. Double-check all the entered information for accuracy and legibility before submitting the requisition form to the immunohematology reference lab.
7. Follow any additional instructions or guidelines provided by the specific laboratory facility or healthcare provider.

Who needs immunohematology reference lab requisition?

1. Immunohematology reference lab requisition is typically needed by healthcare providers or facilities involved in blood transfusions, organ transplants, or other procedures requiring blood compatibility testing.
2. Patients who require specialized testing for blood typing, antibody identification, or reference testing may also need an immunohematology reference lab requisition.

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What is immunohematology reference lab requisition?

Immunohematology reference lab requisition is a form used to request specialized testing related to blood compatibility and transfusion medicine.

Who is required to file immunohematology reference lab requisition?

Healthcare providers or facilities managing patients requiring blood transfusions or with complex blood group antibodies are required to file the requisition.

How to fill out immunohematology reference lab requisition?

The requisition must be completed with patient information, clinical history, requested tests, and relevant laboratory results. It must be signed by a licensed healthcare provider.

What is the purpose of immunohematology reference lab requisition?

The purpose of the requisition is to ensure accurate and timely testing for patients requiring blood transfusions and to investigate blood group antibodies.

What information must be reported on immunohematology reference lab requisition?

Patient demographics, clinical history, current transfusion needs, relevant lab results, requested tests, and healthcare provider's signature must be reported.