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PRENATAL CYTOGENETICS TEST REQUISITION For questions please contact NSU Laboratory phone: 5165623898; fax: 5165622691 Hours of Operation: Monday Friday, 8am5pm IMPORTANT: Please have the patient sign
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How to fill out prenatal cytogenetics test requisition
How to fill out prenatal cytogenetics test requisition
01
Step 1: Fill in the patient's personal information, including name, date of birth, and contact details.
02
Step 2: Provide the patient's medical history, including any previous pregnancies, genetic disorders in the family, or known genetic conditions in the patient.
03
Step 3: Indicate the reason for requesting the prenatal cytogenetics test, such as advanced maternal age, abnormal ultrasound results, or a family history of chromosomal abnormalities.
04
Step 4: Specify the gestational age of the pregnancy and the estimated due date.
05
Step 5: Include any additional relevant information, such as specific concerns or requests for particular genetic tests.
06
Step 6: Provide the healthcare professional's name, contact information, and signature on the requisition form.
07
Step 7: Submit the completed prenatal cytogenetics test requisition to the appropriate laboratory or genetic testing facility.
Who needs prenatal cytogenetics test requisition?
01
Prenatal cytogenetics test requisition is needed for pregnant women who require genetic testing during pregnancy.
02
This may include women who are of advanced maternal age (over 35 years old), have a family history of chromosomal abnormalities, have had previous pregnancies with genetic disorders, or have abnormal ultrasound results.
03
It is also requested for pregnant women with known genetic conditions or specific concerns that require further genetic analysis.
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What is prenatal cytogenetics test requisition?
Prenatal cytogenetics test requisition is a form that requests for a genetic testing of the fetus before birth.
Who is required to file prenatal cytogenetics test requisition?
The healthcare provider overseeing the prenatal care is required to file the prenatal cytogenetics test requisition.
How to fill out prenatal cytogenetics test requisition?
The prenatal cytogenetics test requisition form must be filled out with all relevant details about the patient and the requested testing.
What is the purpose of prenatal cytogenetics test requisition?
The purpose of prenatal cytogenetics test requisition is to identify any genetic abnormalities or disorders in the fetus before birth.
What information must be reported on prenatal cytogenetics test requisition?
The prenatal cytogenetics test requisition must include patient's information, healthcare provider's details, reason for testing, and any other relevant medical history.
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