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Laboratory Services 320 Pom fret Street Putnam, CT 06260 CIA #07D0095139LABORATORY REQUISITIONPATIENT INFLATE: TIME: Name: Sex:MFastingFNonfastingRoutineAddress: Phone: Statute of Birth: LAB USE ONLY
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Step 1: Collect the necessary information. This includes the patient's name, date of birth, and contact information.
02
Step 2: Identify the required tests or procedures. Consult with the healthcare provider to determine the specific tests needed for diagnosis or monitoring.
03
Step 3: Write down the date and time of the requisition. It is important to ensure that the dates are accurate for proper tracking and follow-up.
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Step 4: Specify any special instructions or considerations. This may include fasting requirements, medication restrictions, or specific collection techniques.
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Step 5: Provide any additional relevant information. This could include the patient's relevant medical history, current medications, or recent surgeries.
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Step 6: Sign the requisition form. The healthcare provider must sign the form to authorize the tests and take responsibility for the request.
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Step 7: Submit the completed requisition to the laboratory. Make sure to double-check all the information before submitting the form.

Who needs laboratory requisition - day?

01
Laboratory requisitions are typically needed by healthcare providers such as doctors, physicians, nurse practitioners, or any healthcare professional who needs diagnostic tests or procedures for their patients.
02
Patients may also require laboratory requisitions if they are seeking self-requested lab tests or if their healthcare provider has instructed them to obtain specific tests independently.
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Laboratory requisition - day is a form used to request laboratory testing on a specific day.
Healthcare providers such as doctors, nurses, or medical assistants are required to file laboratory requisition - day.
To fill out laboratory requisition - day, healthcare providers need to enter patient information, requested tests, and the date for testing.
The purpose of laboratory requisition - day is to request specific laboratory tests for a patient on a particular day.
Patient demographics, required tests, date of testing, and healthcare provider information must be reported on laboratory requisition - day.
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