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Date of Request Chart #*1083×Visit Number: Location:Ordering Provider: Patient Reattending Provider: BASSETT HEALTHCARE NETWORK ENDOCRINOLOGY LAB REQUEST FORM #12 ×1083 9/14/07, 8/11/08, 9/4/08,
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How to fill out hematology laboratory requisition
How to fill out hematology laboratory requisition
01
Step 1: Take the hematology laboratory requisition form.
02
Step 2: Write the patient's full name in the designated space.
03
Step 3: Provide the patient's date of birth.
04
Step 4: Write down the patient's identification number.
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Step 5: Specify the date and time the requisition is being filled out.
06
Step 6: Indicate the name of the healthcare provider who requested the lab test.
07
Step 7: Provide the patient's address and contact number.
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Step 8: Select the specific hematology tests required and write them down.
09
Step 9: Fill out any additional information or special instructions, if necessary.
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Step 10: Sign the requisition form to indicate it has been completed.
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Step 11: Submit the form to the hematology laboratory for further processing.
Who needs hematology laboratory requisition?
01
Hematology laboratory requisition is needed by healthcare providers such as doctors, nurses, or medical practitioners who require hematology tests for their patients. It is necessary for accurate diagnosis, monitoring of diseases, or assessing a patient's overall blood health.
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What is hematology laboratory requisition?
Hematology laboratory requisition is a form used to request specific tests related to blood disorders and diseases.
Who is required to file hematology laboratory requisition?
Hematology laboratory requisition can be filed by healthcare providers such as doctors, nurses, or other medical professionals.
How to fill out hematology laboratory requisition?
Hematology laboratory requisition should be filled out with patient information, type of tests requested, and any relevant clinical information.
What is the purpose of hematology laboratory requisition?
The purpose of hematology laboratory requisition is to request and document specific blood tests for diagnostic or monitoring purposes.
What information must be reported on hematology laboratory requisition?
Hematology laboratory requisition should include patient demographics, medical history, type of tests requested, and clinician's signature.
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