Get the free KDHE Universal Laboratory Specimen Submission Form (Test ...

Fill in your KEEL designated submitting facility ID, facility name, and address. If you do not know your facility ID, call KEEL at (785) 2961620If ICD10 code is available, please write it at the top

How to fill out kdhe universal laboratory specimen

How to fill out kdhe universal laboratory specimen

1. To fill out KDHE Universal Laboratory Specimen, follow the steps below:
2. Fill in the patient's information, including their name, date of birth, and address.
3. Indicate the patient's gender.
4. Provide the collection date and time.
5. Enter the healthcare provider's information, including their name and contact information.
6. Specify the reason for the specimen collection.
7. Select the appropriate test(s) to be performed on the specimen.
8. Describe the specimen source/location.
9. If applicable, indicate any relevant medical history or medication the patient is taking.
10. Ensure that all sections are completed accurately and legibly.
11. Submit the completed KDHE Universal Laboratory Specimen to the designated laboratory for analysis.

Who needs kdhe universal laboratory specimen?

1. KDHE Universal Laboratory Specimen is needed by healthcare providers, clinics, hospitals, and laboratories for various diagnostic tests and analysis. It is used to collect and transport patient specimens for laboratory testing, helping to diagnose and monitor diseases, infections, or other medical conditions.

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What is kdhe universal laboratory specimen?

KDHE universal laboratory specimen refers to a standardized form used for reporting laboratory test results to the Kansas Department of Health and Environment.

Who is required to file kdhe universal laboratory specimen?

All medical facilities and laboratories in Kansas are required to file KDHE universal laboratory specimens.

How to fill out kdhe universal laboratory specimen?

KDHE universal laboratory specimen can be filled out by entering the required information such as patient demographics, test results, and other relevant details.

What is the purpose of kdhe universal laboratory specimen?

The purpose of KDHE universal laboratory specimen is to track and monitor the prevalence of diseases and conditions in the state of Kansas.

What information must be reported on kdhe universal laboratory specimen?

Information such as patient demographics, test results, specimen collection date, and laboratory information must be reported on KDHE universal laboratory specimen.