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BAYLOR GENETICS 2450 HOLCOMBE BLVD. GRAND BLVD. RECEIVING DOCK HOUSTON, TX 770212024PHONE 1.800.411.4363 FAX 1.800.434.9850CONNECTPHENYLALANINE DETERMINATION REQUISITION PATIENT INFORMATION (COMPLETE
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How to fill out phenylalanine determination requisition

01
Start by gathering all necessary information such as patient details, date and time of sample collection, and any specific instructions from the healthcare provider.
02
Prepare the requisition form by filling out the patient's personal information including name, date of birth, and contact details.
03
Specify the date and time of sample collection to ensure accurate record keeping.
04
Provide relevant clinical information such as the reason for the test, medical history, and any symptoms or concerns related to phenylalanine levels.
05
In the appropriate section, indicate the type of sample that will be collected for testing. This can be blood, urine, or any other specified sample.
06
If there are any specific instructions for sample collection or preparation, clearly note them on the requisition form.
07
Double-check all the filled-out information for accuracy and completeness.
08
Submit the requisition form to the appropriate laboratory or healthcare facility for processing.

Who needs phenylalanine determination requisition?

01
Individuals who require phenylalanine determination may include:
02
- Patients with known or suspected phenylketonuria (PKU), a genetic disorder that affects the body's ability to process phenylalanine.
03
- Newborn babies as part of routine neonatal screening programs to detect PKU early and initiate appropriate interventions.
04
- Individuals undergoing dietary therapies or monitoring for phenylalanine-related conditions or disorders.
05
- Individuals participating in research studies or clinical trials focusing on phenylalanine metabolism or related areas.
06
- Patients being evaluated for symptoms or conditions that may be influenced by phenylalanine levels, such as neurological or psychiatric disorders.
07
- Individuals undergoing preoperative or pre-procedure evaluation where phenylalanine determination is relevant for overall assessment and management.
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