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OLD CLINICAL TEST REQUEST FORMRevised 4/23USER CODES SLDDATEUSE TIMEONLYSTAMPSLD LAB NO. ONLY ONE FORM PER SPECIMENPLEASE PRINT LEGIBLY 52325 (PhD: Adult Hepatitis) 52330 (PhD: TB Program)Please limit52110
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How to fill out sld clinical test request

01
Obtain a copy of the SLD clinical test request form.
02
Read the instructions on the form carefully to understand the required information.
03
Start by filling out the patient's personal information such as name, date of birth, and contact details.
04
Provide relevant medical history, including any known allergies or previous test results.
05
Indicate the specific tests being requested by checking the appropriate boxes.
06
If additional information is required, provide detailed clinical notes or specific questions for the laboratory.
07
Ensure all required fields are completed and any necessary supporting documentation is attached.
08
Double-check the form for accuracy and completeness before submission.
09
Submit the filled-out form to the laboratory according to their specified submission process.
10
Follow any additional instructions or requirements provided by the laboratory regarding sample collection or transportation.

Who needs sld clinical test request?

01
SLD clinical test requests are typically needed by healthcare professionals, such as doctors, medical specialists, or genetic counselors, who suspect a patient may have a specific genetic disorder or want to confirm a diagnosis. These requests help facilitate the testing and analysis of genetic material to provide information about potential genetic variants or abnormalities.
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An SLD clinical test request is a formal document used to order specific clinical tests related to a patient's health condition within a healthcare framework.
Healthcare providers, such as physicians or medical practitioners, are required to file an SLD clinical test request on behalf of their patients.
To fill out an SLD clinical test request, one must provide patient information, the specific tests requested, any relevant medical history, and the healthcare provider's details.
The purpose of an SLD clinical test request is to facilitate the evaluation and diagnosis of medical conditions through appropriate laboratory tests.
Information that must be reported includes patient identification details, the requested tests, physician information, and any pertinent medical background.
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