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MIC Laboratory Requisitioned Medicine Central Laboratory 211 Bailey Road, West Henrietta, NY 14586 Clinical Microbiology1. Complete Required Fields (*) 2. Email signed form to: MIC Lab USMC.Rochester.edu

How to fill out mic laboratory requisition

How to fill out mic laboratory requisition

1. To fill out a mic laboratory requisition, follow these steps:
2. Begin by entering the name and contact information of the patient for whom the requisition is being filled.
3. Specify the date and time the requisition is being completed.
4. Next, provide relevant medical history or reasons for ordering the MIC laboratory test.
5. Indicate the specific MIC test(s) that are being requested. This may include multiple tests for various purposes.
6. If applicable, provide any additional instructions or comments for the laboratory.
7. Finally, sign and date the requisition form to authenticate the request.
8. Ensure that all required fields are correctly filled out and that the form is legible.
9. Submit the completed requisition form to the appropriate laboratory or healthcare provider.

Who needs mic laboratory requisition?

1. MIC laboratory requisition is typically needed by healthcare providers, such as doctors, nurses, or medical specialists, who require specific microbiology tests to be conducted on a patient's sample. This could include individuals with suspected bacterial infections, immunocompromised patients, or those undergoing antibiotic treatment. The requisition helps in identifying the appropriate antibiotics and determining the minimum inhibitory concentration (MIC) required for effective treatment.

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What is mic laboratory requisition?

A MIC laboratory requisition is a formal request form used by laboratories to obtain samples or data necessary for testing and analysis, typically related to microbiological testing.

Who is required to file mic laboratory requisition?

Individuals or organizations that require laboratory testing for microbiological analysis, including healthcare providers, laboratories, and institutions, are required to file a MIC laboratory requisition.

How to fill out mic laboratory requisition?

To fill out a MIC laboratory requisition, provide accurate patient identification details, the type of sample to be tested, relevant clinical information, and ensure all required fields are completed as per the laboratory's guidelines.

What is the purpose of mic laboratory requisition?

The purpose of a MIC laboratory requisition is to facilitate the collection and analysis of samples for microbiological testing, ensuring that the laboratory receives all necessary information to perform accurate testing.

What information must be reported on mic laboratory requisition?

Information that must be reported includes the patient's name, date of birth, clinical history, type of specimen, tests requested, and contact information for the referring physician.