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Molecular Genetics Laboratory Requisition Form
Phone: 4014537652; Fax: 4014537547Todays Date:PATIENT INFORMATION
Patients last name:First:Middle:Street address:Birth date:Sex:Social Security no.:Home
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How to fill out molecular genetics laboratory requisition
How to fill out molecular genetics laboratory requisition
01
Step 1: Start by collecting all the necessary information such as patient details, referring physician information, and the reason for the requisition.
02
Step 2: Fill out the patient information correctly, including their full name, date of birth, and contact information.
03
Step 3: Provide the referring physician's details, including their name, clinic/hospital name, and contact information.
04
Step 4: Clearly state the reason for the molecular genetics laboratory requisition, including the suspected genetic disorder or specific genetic test required.
05
Step 5: If applicable, provide relevant medical history or other supporting information that might assist the laboratory in making an accurate diagnosis.
06
Step 6: Indicate the preferred date and time for the sample collection if necessary.
07
Step 7: Specify the type of sample required (e.g., blood, saliva, tissue), along with any special instructions for sample collection, handling, or transportation.
08
Step 8: Include any additional tests or panels to be performed alongside the requested molecular genetics test.
09
Step 9: Sign and date the requisition form in the designated areas to validate the request.
10
Step 10: Ensure all the required fields are completed and double-check for any errors or missing information before submitting the requisition form to the laboratory.
Who needs molecular genetics laboratory requisition?
01
Individuals suspected of having a genetic disorder or in need of genetic testing may require a molecular genetics laboratory requisition.
02
Genetic counselors, medical geneticists, and other healthcare professionals involved in diagnosing and managing genetic conditions also need requisitions for their patients.
03
Research institutions and scientists conducting genetic research may also require molecular genetics laboratory requisitions for their studies.
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What is molecular genetics laboratory requisition?
Molecular genetics laboratory requisition is a form used to request genetic testing in a laboratory setting to analyze DNA and identify genetic mutations or disorders.
Who is required to file molecular genetics laboratory requisition?
Healthcare professionals such as doctors, genetic counselors, or specialists are required to file molecular genetics laboratory requisitions on behalf of their patients.
How to fill out molecular genetics laboratory requisition?
Molecular genetics laboratory requisitions should be filled out by providing patient information, reason for testing, type of testing needed, and any relevant clinical history or family history.
What is the purpose of molecular genetics laboratory requisition?
The purpose of molecular genetics laboratory requisition is to facilitate the process of ordering genetic testing, which can help diagnose genetic conditions, assess risks, and guide treatment decisions.
What information must be reported on molecular genetics laboratory requisition?
Information such as patient demographics, clinical history, family history of genetic conditions, specific genetic tests requested, and healthcare provider's contact information must be reported on a molecular genetics laboratory requisition.
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