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Hematology SectionHLADNA TEST ORDER FORM Version Indiana, Inc 3450 N. Meridian St. Indianapolis, IN 46208 CIA# 15D2084361 Medicare # 15HL01 UFOs # 10INCI ASH # 084IN061 NYS DOH PCI: 8930 Lab Phone:
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How to fill out hla-dna hematology test order
How to fill out hla-dna hematology test order
01
Start by identifying the patient and ensure you have their complete demographic information.
02
Write the patient's full name, date of birth, and contact information on the HLA-DNA hematology test order form.
03
Specify the reason for ordering the test, whether it is for diagnostic purposes or for monitoring the effectiveness of a treatment.
04
Provide relevant medical history, including any previous HLA-DNA test results or relevant allergies.
05
Indicate the preferred method of payment or insurance information if applicable.
06
Obtain the physician's signature and include their name and contact information.
07
Ensure that all necessary supporting documents, such as referral letters or medical reports, are attached to the order form.
08
Double-check the order form for any errors or missing information before submitting it to the laboratory for processing.
Who needs hla-dna hematology test order?
01
HLA-DNA hematology test orders are typically requested by hematologists, oncologists, or transplant surgeons.
02
These tests are necessary for patients who require bone marrow or organ transplants.
03
The HLA-DNA test helps determine the compatibility between the donor and the recipient to reduce the risk of rejection.
04
It is also used to diagnose and monitor certain blood disorders and autoimmune diseases.
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What is hla-dna hematology test order?
The HLA-DNA hematology test order is a medical request for testing human leukocyte antigen (HLA) DNA to evaluate genetic compatibility, usually for purposes such as organ transplantation or tissue typing.
Who is required to file hla-dna hematology test order?
Healthcare providers, such as physicians or specialists in hematology or immunology, are required to file HLA-DNA hematology test orders for patients who need assessment for organ transplantation or genetic testing.
How to fill out hla-dna hematology test order?
To fill out an HLA-DNA hematology test order, healthcare providers should complete sections including patient identification, relevant medical history, the specific test requested, and ensure any necessary signatures are obtained.
What is the purpose of hla-dna hematology test order?
The purpose of the HLA-DNA hematology test order is to determine compatibility between donors and recipients for organ transplants, assess autoimmune Diseases, and provide critical information for certain blood disorders.
What information must be reported on hla-dna hematology test order?
Information that must be reported includes patient name, date of birth, medical record number, test requested, reason for testing, and provider information.
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