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CARDIOLOGY LAB REQUISITION 76 Grenville Street. 4th Floor. Toronto ON M5S 1B2 Tel 416.323.6106. Fax 416.323.6147 An academic center fully affiliated with the University of TorontoPATIENT NAME BIRTHDATE HEALTH

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How to fill out cardiology lab requisition form

01

Start by identifying the patient's information section on the cardiology lab requisition form. This will typically include fields for the patient's name, date of birth, gender, and contact information.

02

Next, move on to the clinical information section. Here, you will need to provide details about the patient's medical history, relevant symptoms, and any specific tests or procedures requested by the physician.

03

In the test selection section, indicate the specific cardiology tests that are being requested. This may include echocardiography, stress tests, electrocardiograms (EKGs), or other diagnostic procedures.

04

If there are any special instructions or preferences for the test, make sure to include them in the appropriate section. This could include details about fasting requirements, medication restrictions, or patient preparation instructions.

05

Finally, review the completed requisition form to ensure that all necessary information has been provided and that it is legible. Make a copy of the form for your records if required, and submit the original to the cardiology lab or healthcare facility for processing.

Who needs cardiology lab requisition form?

01

Cardiology lab requisition forms are typically needed by healthcare providers or physicians who are ordering cardiology tests for their patients. These forms help to communicate the specific tests or procedures requested, as well as provide important patient information and medical history that is necessary for accurate diagnosis and treatment. Cardiologists, primary care physicians, and other healthcare professionals involved in cardiac care may need to fill out these requisition forms.

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What is cardiology lab requisition form?

The cardiology lab requisition form is a document used to request specific tests or procedures related to heart health.

Who is required to file cardiology lab requisition form?

Healthcare providers such as cardiologists, physicians, or other medical professionals may be required to file a cardiology lab requisition form.

How to fill out cardiology lab requisition form?

To fill out a cardiology lab requisition form, one must provide patient information, requested tests, and relevant clinical information.

What is the purpose of cardiology lab requisition form?

The purpose of the cardiology lab requisition form is to ensure that the appropriate tests are ordered for a patient's cardiac health evaluation.

What information must be reported on cardiology lab requisition form?

Patient demographics, clinical history, desired tests, ordering physician information, and any relevant medical notes must be reported on the cardiology lab requisition form.

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