Get the free hla typing request form

Ship specimen at room temperature. PLEASE CALL THE HISTOCOMPATIBILITY LAB AT 727-767-4976 BEFORE SENDING ANY SPECIMENS. SENDER WILL BE BILLED FOR PROCEDURES. Physician Signature Date HLA Typing Requisition Form ACH 7702015 Page 1 of 2 Rev 08/17/2011. Pathology Laboratory Medicine Histocompatibility Lab 601 5th Street South St. Petersburg Florida 33701 Phone 727-767-4976 Fax 727-767-8367 Date Collected Last Name CAP 1530901 CLIA 10D0700790 ASHI 03...

How to fill out hla typing request form

How to fill out hla typing request form:

1. Begin by carefully reading the instructions provided on the form.
2. Fill out all required personal information, such as name, date of birth, and contact details.
3. Provide any relevant medical history or previous HLA typing results, if applicable.
4. Indicate the specific HLA typing tests you are requesting and provide any necessary supporting documentation.
5. If you are requesting HLA typing for a specific purpose, such as organ transplantation, include this information as well.
6. Double-check that all information provided is accurate and complete before submitting the form.

Who needs hla typing request form:

1. Individuals who are undergoing organ transplantation or bone marrow transplantation may need to fill out an HLA typing request form.
2. Patients who are being evaluated for potential blood or tissue donation may also be required to complete this form.
3. Additionally, researchers or clinicians conducting HLA-related studies or clinical trials may need to submit HLA typing request forms for their participants.

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What is hla typing request form?

The hla typing request form is a document used to request and provide information for Human Leukocyte Antigen (HLA) typing.

Who is required to file hla typing request form?

The hla typing request form is typically required to be filed by individuals or healthcare professionals who need to know the HLA type of a patient for various medical purposes.

How to fill out hla typing request form?

To fill out the hla typing request form, you need to provide the necessary information such as the patient's personal details, medical history, and any relevant documentation supporting the need for HLA typing.

What is the purpose of hla typing request form?

The purpose of the hla typing request form is to facilitate and record the request for HLA typing, which is important for various medical procedures, such as organ transplantation and matching.

What information must be reported on hla typing request form?

The hla typing request form typically requires information such as the patient's name, date of birth, medical history, reason for HLA typing request, and any supporting documentation.