UI Health Care Microbiology Laboratory Requisition 2020-2025 free printable template
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MICROBIOLOGY MOLECULAR LABORATORY ONCOLOGY RESET REQUISITION FOR IDL USE ONLY: MAN# FOR CLIENT USE ONLY: Requisition Date PART PATIENT INFORMATION Required Patient Last Name: Patient First Name: Street:
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How to fill out UI Health Care Microbiology Laboratory Requisition
How to fill out UI Health Care Microbiology Laboratory Requisition
01
Obtain a UI Health Care Microbiology Laboratory Requisition form from the appropriate source.
02
Fill in the patient's full name and date of birth at the top of the form.
03
Provide the patient's contact information, including phone number and address.
04
Indicate the specimen type to be tested (e.g., blood, urine, swab).
05
Record the reason for the test, including any relevant clinical information.
06
Include the ordering physician's name, contact information, and signature.
07
Ensure that all information is accurate and complete before submission.
08
Send the requisition form along with the specimen to the laboratory for processing.
Who needs UI Health Care Microbiology Laboratory Requisition?
01
Healthcare providers who require microbiological testing for patients.
02
Clinics and hospitals that are preparing biological specimens for laboratory analysis.
03
Laboratory personnel responsible for receiving and processing specimens.
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What is UI Health Care Microbiology Laboratory Requisition?
UI Health Care Microbiology Laboratory Requisition is a formal request form used to submit samples for microbiological testing and analysis conducted by the UI Health Care Microbiology Laboratory.
Who is required to file UI Health Care Microbiology Laboratory Requisition?
Healthcare providers including physicians, nurse practitioners, and other authorized personnel are required to file the UI Health Care Microbiology Laboratory Requisition when sending samples for testing.
How to fill out UI Health Care Microbiology Laboratory Requisition?
To fill out the UI Health Care Microbiology Laboratory Requisition, you should provide accurate patient information, specify the type of specimen, indicate the tests requested, and include relevant clinical history.
What is the purpose of UI Health Care Microbiology Laboratory Requisition?
The purpose of the UI Health Care Microbiology Laboratory Requisition is to ensure proper collection, identification, and handling of samples for microbiological analysis, facilitating accurate diagnosis and treatment.
What information must be reported on UI Health Care Microbiology Laboratory Requisition?
The information that must be reported includes patient demographics (name, date of birth), specimen type, clinical information, contact information for the provider, and the tests requested.
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