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Get the free Biochemical Genetics Request Form - Duke Department of ... - clinlabs duke

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DUES Biochemical Genetics Laboratory: Test Request Form Page 1 of 2 Duke University Health System Biochemical Genetics Lab, 8016 Capitol Drive, Durham, NC 27713 Phone: (919) 5490445, Fax: (919) 5490709 https://clinlabs.duke.edu/biochemicalgeneticslaboratory PATIENT
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How to fill out biochemical genetics request form

01
Begin by opening the biochemical genetics request form.
02
Provide the patient's personal information, including their name, date of birth, and gender.
03
Specify the referring physician's details, such as their name, contact information, and medical specialty.
04
Indicate the reason for the request, including pertinent medical history and symptoms.
05
Select the desired biochemical genetics tests from the provided list.
06
Fill in any additional information or requests in the designated fields.
07
Review the completed form for accuracy and completeness.
08
Submit the form to the appropriate department or laboratory for processing.
09
Keep a copy of the form for your records.

Who needs biochemical genetics request form?

01
Biochemical genetics request forms are often required by medical professionals such as geneticists, pediatricians, or other specialists who suspect a genetic disorder or metabolic abnormality in a patient.
02
These forms are necessary to initiate the testing process and provide relevant information to the laboratory or testing facility.
03
Patients who are suspected of having a biochemical or genetic condition may also need to have this form filled out by their healthcare provider.
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The biochemical genetics request form is a document used by healthcare professionals to request genetic testing related to biochemical disorders.
Healthcare providers, usually physicians or genetic counselors, are required to file the biochemical genetics request form on behalf of patients.
To fill out the biochemical genetics request form, a healthcare provider must provide patient information, clinical details, reason for the test, and any relevant medical history.
The purpose of the biochemical genetics request form is to facilitate the ordering and documentation of genetic testing for diagnosing biochemical disorders.
Information that must be reported includes patient demographics, clinical symptoms, family history, and specific tests requested.
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