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STANDARD OUTPATIENT
LABORATORY REQUISITION
Yellow highlighted fields
must be completed.
Bill to ORDERING PRACTITIONER: ADDRESS, PHONE, MAP PRACTITIONER Number tests indicated with a blue tick box,
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How to fill out standing out-patient laboratory requisition

How to fill out standing out-patient laboratory requisition
01
Start by providing your personal information such as your name, date of birth, and contact details. Make sure to write legibly.
02
Indicate the date and time of your appointment for the laboratory test.
03
Specify the type of test you require. It can be a blood test, urine test, or any other specific test that your healthcare provider has requested.
04
If there are any specific instructions related to the test, mention them clearly in the requisition form.
05
Ensure to sign the requisition form to authorize the laboratory to perform the requested tests.
06
Double-check all the information provided to avoid any mistakes or misunderstandings.
07
Submit the completed requisition form to the designated laboratory or healthcare facility.
08
Take note of any additional instructions or preparations you may need to follow before the laboratory test.
Who needs standing out-patient laboratory requisition?
01
Standing out-patient laboratory requisition is typically needed by individuals who require laboratory tests as part of their outpatient healthcare.
02
These individuals may include patients visiting a clinic or hospital for non-emergency services, individuals undergoing regular check-ups, or those with a specific medical condition requiring routine testing.
03
The requisition helps healthcare providers and laboratories to accurately identify and perform the necessary tests on the patient.
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What is standing out-patient laboratory requisition?
A standing out-patient laboratory requisition is a form used to request outpatient laboratory tests on a recurring basis.
Who is required to file standing out-patient laboratory requisition?
Healthcare providers are required to file standing out-patient laboratory requisitions for their patients.
How to fill out standing out-patient laboratory requisition?
Standing out-patient laboratory requisitions must be filled out with the patient's information, the requested tests, and the frequency of testing.
What is the purpose of standing out-patient laboratory requisition?
The purpose of standing out-patient laboratory requisition is to streamline the process of ordering outpatient laboratory tests that need to be done regularly.
What information must be reported on standing out-patient laboratory requisition?
Information such as patient demographics, test codes, frequency of testing, and healthcare provider information must be reported on standing out-patient laboratory requisition.
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