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PEDIATRIC REQUISITION Lab Use Only Accession #:SERVICE LEVEL REQUEST: Must select alternative option or default will be GLOBAL process Slide Process Only (TC) Interpretation Only (PC) ConsultPRACTICE
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How to fill out podiatric requisition

01
To fill out a podiatric requisition, follow these steps:
02
Begin by entering the patient's personal information, including their name, date of birth, and contact information.
03
Indicate the reason for the referral or consultation in the appropriate section.
04
Provide a detailed medical history of the patient, including any previous podiatric treatments or surgeries.
05
Describe the current foot or ankle condition that requires attention, including symptoms and duration.
06
Include any relevant imaging or test results, such as X-rays or bloodwork.
07
Specify any medications the patient is currently taking and note any allergies or adverse reactions.
08
If necessary, indicate the preferred podiatric specialist or clinic for the referral.
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Finally, ensure that the referral is signed and dated by the referring healthcare professional.

Who needs podiatric requisition?

01
Podiatric requisitions are typically needed by individuals who require specialized foot and ankle care.
02
These may include patients experiencing chronic foot pain, deformities, injuries, or conditions such as diabetes that can affect foot health.
03
Podiatrists, orthopedic surgeons, primary care physicians, and other healthcare professionals may use podiatric requisitions to refer their patients for further evaluation and treatment by a podiatric specialist.
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Podiatric requisition is a request for foot care services provided by a podiatrist.
Patients who need foot care services from a podiatrist are required to file podiatric requisition.
Podiatric requisition can be filled out by providing personal information, medical history, and details about the foot condition.
The purpose of podiatric requisition is to request foot care services from a licensed podiatrist.
Information such as patient's name, contact information, medical history, insurance details, and description of foot condition must be reported on podiatric requisition.
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