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Laboratory Services Madison Center 904 7th Ave., 2nd Floor Seattle, WA 98104 Phone: 206.860.5500 Fax: 206.860.2275Manual Requisition for External Providers Date:Doctor: Phone/Fax Number:Copy Results
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01
Start by gathering all the necessary information such as your personal details, including your name, date of birth, and contact information.
02
Next, provide the information about your healthcare provider, including their name, address, and phone number.
03
Fill out the information about the tests you need to be performed. Specify the test names, codes, and any additional details if necessary.
04
Indicate the date and time when you would like to have the tests done.
05
If you have any special instructions or preferences, make sure to include them in the appropriate section.
06
Finally, review the form to ensure all the information provided is accurate and complete. Sign and date the form before submitting it to the Quest Lab.

Who needs quest lab requisition form?

01
Anyone who requires medical tests or diagnostic services from Quest Lab needs to fill out a lab requisition form. This includes patients who have been referred by their healthcare providers for specific tests, as well as individuals who want to request certain tests for screening or monitoring purposes.
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The Quest lab requisition form is a document used to request laboratory testing services from Quest Diagnostics.
The requisition form is required to be filed by healthcare providers, such as doctors or clinics, who are ordering lab tests for their patients.
To fill out the quest lab requisition form, provide patient information, select the appropriate tests to be performed, and include ordering physician details along with any necessary clinical information.
The purpose of the quest lab requisition form is to ensure accurate processing and testing of lab samples by providing necessary information to the laboratory.
The requisition form must report patient demographics, the specific tests requested, ordering physician's details, and any relevant medical history needed for interpretation.
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