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SSM Health St. Mary's Laboratory Client Supply Requisition Please allow 35 business days to process your request Please fax requests to 6082595865 Date: Client : Contact Name: phone # Requisitions
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How to fill out laboratory services specimen information
01
To fill out laboratory services specimen information:
02
Start by entering the patient's full name and date of birth in the designated fields.
03
Provide the patient's address and contact information.
04
Specify the date and time the specimen was collected.
05
Indicate the type of specimen being submitted for analysis (e.g., blood, urine, tissue).
06
Include any relevant clinical information or medical history that may assist the laboratory technician in interpreting the results.
07
If applicable, note any specific tests or procedures requested by the referring healthcare provider.
08
Sign and date the form to verify the accuracy of the provided information.
09
Ensure all required fields are completed and legible before submitting the specimen information to the laboratory.
Who needs laboratory services specimen information?
01
Laboratory services specimen information is needed by healthcare professionals, such as physicians, nurses, and laboratory technicians.
02
Other individuals who may require this information include medical researchers, insurance companies, and regulatory authorities.
03
By obtaining accurate and complete specimen information, healthcare providers can better diagnose and manage a patient's condition.
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