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Laboratory Use Only Ministry of Health and Longer Care Laboratory Requisition Requisitioning Clinician / PractitionerClear Formation NUMBER STAMPNameDO NOT STICK OR WRITE ANYTHING IN THIS SECTIONPlease
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Write your full name and date of birth at the top of the form.
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Fill out any demographic information requested, such as address and contact details.
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Provide information on any relevant medical history or current symptoms.
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Specify the type of test being requested and the reason for the test.
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Follow any additional instructions provided by the healthcare provider or lab.

Who needs lab forms and test?

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Individuals who are seeking a diagnosis or treatment for a medical condition.
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Healthcare providers who need to monitor a patient's health or response to treatment.
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Employers or organizations conducting pre-employment screenings or drug tests.
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Lab forms and test are documents used to report and record laboratory test results.
Healthcare providers and laboratories are required to file lab forms and test.
Lab forms and test can be filled out by entering the required information such as patient details, test results, and healthcare provider information.
The purpose of lab forms and test is to ensure accurate recording and reporting of laboratory test results for patient diagnosis and treatment.
Information such as patient details, test results, date of test, and healthcare provider information must be reported on lab forms and test.
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