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SHIP TO: National Jewish HealthMolecular Diagnostics Laboratory 1400 Jackson Street, Room D303 Denver, CO 80206Molecular Diagnostics | 800.550.6227 | 303.270.2175 fax | labs.org Molecular Diagnostics
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How to fill out molecular diagnostics requisition

01
Obtain the requisition form from the appropriate healthcare provider or laboratory.
02
Fill out the patient's demographic information including name, date of birth, gender, and contact information.
03
Provide the healthcare provider's information such as name, contact details, and signature.
04
Specify the type of molecular diagnostic test requested and provide relevant clinical information.
05
Include any relevant medical history, previous test results, or medications that may impact the test results.
06
Ensure all information is legible and accurate before submitting the requisition form.

Who needs molecular diagnostics requisition?

01
Patients who require specialized molecular diagnostic testing to diagnose or monitor a genetic or infectious disease.
02
Healthcare providers who are ordering specific molecular tests for their patients.
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Molecular diagnostics requisition is a request for specific molecular tests or analysis to be performed on a biological sample.
Healthcare providers or physicians are required to file molecular diagnostics requisition for their patients.
Molecular diagnostics requisition can be filled out by providing patient information, requested tests, reason for testing, and physician's signature.
The purpose of molecular diagnostics requisition is to request and authorize molecular testing on a patient's sample for diagnostic purposes.
Patient demographics, medical history, test requested, reason for testing, relevant clinical details, and physician's information must be reported on molecular diagnostics requisition.
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