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State of Illinois Department of Public HealthCommunicable Diseases Laboratory Test RequisitionLaboratory Specimen Number (FOR PUBLIC HEALTH USE ONLY)Outbreak #:Type or use indelible dark ink and print

How to fill out laboratory test requisition

How to fill out laboratory test requisition

1. To fill out a laboratory test requisition, follow these steps:
2. Start by providing your personal information, including your full name and date of birth.
3. Next, indicate your contact information, such as your phone number and address.
4. Specify the name of the healthcare provider or medical facility that is ordering the tests.
5. Enter the date on which the requisition is being filled out.
6. Next, provide details about the tests that are being requested, including their names and codes if applicable.
7. Indicate the reason for the tests or any relevant medical history that might be important for the laboratory technician to know.
8. Check if there are any specific instructions or preparations needed before the tests, such as fasting or avoiding certain medications.
9. Finally, sign and date the requisition form before submitting it to the laboratory.

Who needs laboratory test requisition?

1. A laboratory test requisition is needed by individuals who require medical tests to be conducted.
2. This includes patients who are referred by their healthcare provider to undergo specific laboratory tests for diagnostic purposes.
3. It can also be required for individuals who wish to have certain screenings or tests done as part of their regular health check-up.
4. Additionally, individuals participating in clinical research studies or those seeking specialized medical opinions may also need a laboratory test requisition.

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What is laboratory test requisition?

A laboratory test requisition is a form or document used to request specific tests to be performed on a patient's specimen.

Who is required to file laboratory test requisition?

Healthcare providers such as doctors, nurses, or other medical professionals are required to file laboratory test requisitions.

How to fill out laboratory test requisition?

To fill out a laboratory test requisition, one must provide patient information, tests requested, date and time of specimen collection, and relevant clinical information.

What is the purpose of laboratory test requisition?

The purpose of a laboratory test requisition is to ensure that the correct tests are performed on a patient's specimen and to provide necessary information for accurate test interpretation.

What information must be reported on laboratory test requisition?

Patient information, tests requested, date and time of specimen collection, relevant clinical information, and healthcare provider's contact information must be reported on a laboratory test requisition.