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Specimen Requisitioned of Pathology & Laboratory Medicine 2401 Gilliam Rd Kansas City, MO 64108 (816) 2343835 Patients Name: LastFirstCMH Test DirectoryMiddleBirthdateSubmitting Facility Patient ID

How to fill out specimen requisition

How to fill out specimen requisition

1. To fill out a specimen requisition form, follow these steps:
2. Start by providing the necessary information at the top of the form, such as the patient's name, date of birth, gender, and contact details.
3. Next, specify the type of specimen being collected. This may include blood, urine, saliva, tissue, etc.
4. Fill in the details of the requesting healthcare professional, including their name, contact information, and the reason for the specimen collection.
5. Indicate the desired tests or analysis to be performed on the specimen. Provide as much detail as possible.
6. If applicable, mention any specific instructions or requirements for the collection, storage, or transport of the specimen.
7. Finally, review the form to ensure all necessary information is provided and legible. Sign and date the form before submitting it to the appropriate laboratory or healthcare facility.
8. Note: It is essential to follow any additional guidelines or protocols provided by the specific laboratory or healthcare facility.

Who needs specimen requisition?

1. Specimen requisition forms are typically required by healthcare professionals, such as doctors, physicians, nurses, or medical practitioners, who are responsible for ordering and collecting patient specimens for diagnostic testing or analysis.

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What is specimen requisition?

Specimen requisition is a form or document used to request specific samples or specimens for testing or analysis.

Who is required to file specimen requisition?

Typically, healthcare professionals such as doctors, nurses, or laboratory technicians are required to file specimen requisition.

How to fill out specimen requisition?

To fill out specimen requisition, one must provide details such as patient information, type of specimen needed, test requested, and any other relevant information.

What is the purpose of specimen requisition?

The purpose of specimen requisition is to ensure that the correct samples are collected and tested for accurate diagnosis and treatment.

What information must be reported on specimen requisition?

Information such as patient name, date of birth, specific tests requested, physician's name, and any relevant clinical information must be reported on specimen requisition.