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CONSTITUTIONAL (BLOOD) TEST REQUISITION FORM Phylogenetic LaboratoriesPatient Laboratory Label Indiana University School of Medicine 975 W. Walnut, IB 350, Indianapolis, IN 46202 317/2742243 (Office)
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How to fill out constitutional blood test requisition
How to fill out constitutional blood test requisition
01
Consult with a healthcare provider to determine the need for a constitutional blood test.
02
Obtain the constitutional blood test requisition form from the healthcare provider.
03
Fill out the patient information section on the requisition form, including name, date of birth, and contact information.
04
Provide accurate and detailed information about the reason for the blood test and any specific tests requested.
05
Follow any pre-test instructions given by the healthcare provider, such as fasting or avoiding certain medications.
06
Submit the completed requisition form to the appropriate laboratory for testing.
Who needs constitutional blood test requisition?
01
Individuals who have been advised by a healthcare provider to undergo a constitutional blood test.
02
Patients undergoing medical evaluations or screenings that require blood tests.
03
Individuals participating in clinical research studies that involve blood sample analysis.
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What is constitutional blood test requisition?
Constitutional blood test requisition is a document or form used to request a blood test for constitutional purposes.
Who is required to file constitutional blood test requisition?
The healthcare provider or medical professional attending to the individual is required to file the constitutional blood test requisition.
How to fill out constitutional blood test requisition?
To fill out a constitutional blood test requisition, the healthcare provider must include the patient's information, reason for the test, type of test needed, and any other relevant details.
What is the purpose of constitutional blood test requisition?
The purpose of constitutional blood test requisition is to determine the health status or genetic information of an individual for legal or medical reasons.
What information must be reported on constitutional blood test requisition?
The constitutional blood test requisition must include the patient's name, date of birth, reason for the test, type of test required, healthcare provider's information, and any other relevant details.
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