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ST Study# NRG Oncology Case # PLACE LABEL HERE Specimen Transmittal Form Institution No. Participant's Initials Participant's I.D. No. INSTRUCTIONS: This form must be completed and mailed with the
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How to fill out specimen transmittal form

How to fill out a specimen transmittal form:
01
Start by clearly labeling the specimen transmittal form with the appropriate title and any relevant identification information, such as the laboratory or department name.
02
Fill in the date of the specimen transmittal form. This is important for record-keeping purposes and ensures accurate tracking of the specimen.
03
Include the name and contact information of the sender. This may include the sender's name, phone number, email address, and any other relevant contact details.
04
Specify the recipient of the specimen. Provide the recipient's name, department, and any other necessary contact information to ensure the specimen reaches the intended destination.
05
Describe the specimen in detail. Include information such as the type of specimen, any special markings or characteristics, and any other relevant details that will help identify the specimen accurately.
06
Indicate the purpose of the specimen transmittal. This could be for research, analysis, testing, or any other specific reason. Clearly state the purpose to ensure the correct handling and processing of the specimen.
07
Include any additional instructions or requests for the recipient. If there are specific handling requirements or protocols that need to be followed, make sure to include them on the form.
Who needs a specimen transmittal form:
01
Laboratories: Specimen transmittal forms are commonly used in laboratory settings, where specimens need to be transported from one department to another or sent to external facilities for analysis.
02
Medical professionals: Doctors, nurses, and other healthcare providers may use specimen transmittal forms to send samples to diagnostic laboratories for testing or analysis.
03
Research institutions: Scientists and researchers may use specimen transmittal forms to send samples for experimentation or analysis in various scientific studies.
Overall, anyone who needs to send a specimen for analysis, testing, or research purposes can benefit from using a specimen transmittal form. This form helps ensure accurate record-keeping, proper handling of the specimen, and efficient delivery to the intended recipient.
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What is specimen transmittal form?
The specimen transmittal form is a document used to transfer specimens from one location to another, typically from a healthcare provider to a laboratory for testing.
Who is required to file specimen transmittal form?
Healthcare providers and laboratories are required to file specimen transmittal forms when transferring specimens.
How to fill out specimen transmittal form?
To fill out a specimen transmittal form, providers must include information about the patient, the specimen being transferred, and the reason for the transfer.
What is the purpose of specimen transmittal form?
The purpose of the specimen transmittal form is to ensure that all necessary information is included when transferring specimens to a laboratory for testing.
What information must be reported on specimen transmittal form?
Information such as patient name, date of birth, specimen collection date, specimen type, and reason for testing must be reported on the specimen transmittal form.
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