Get the free Hematology Test Requisition - Cincinnati Children's Hospital
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LABORATORY OF GENETICS AND GENOMICSMailing Address: 3333 Burned Avenue, Room R1042For local courier service and/or inquiries, please contact 5136364474 Fax: 5136364373Cincinnati, OH 45229www.cincinnatichildrens.org/diagnosticlabs
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How to fill out hematology test requisition
How to fill out hematology test requisition
01
Write the patient's full name, date of birth, and contact information at the top of the form.
02
Indicate the date and time the sample was collected.
03
Specify the type of hematology test required (e.g. complete blood count, blood smear).
04
Include any relevant clinical information or reason for the test.
05
Ensure the form is signed and dated by the ordering healthcare provider.
Who needs hematology test requisition?
01
Patients who are experiencing symptoms that may indicate a blood disorder or anemia.
02
Individuals undergoing routine health screenings or check-ups.
03
Healthcare providers who need to monitor a patient's response to treatment for a blood-related condition.
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What is hematology test requisition?
Hematology test requisition is a form or document that is used to request and order specific blood tests to be performed in the laboratory.
Who is required to file hematology test requisition?
Medical professionals such as doctors, nurses, or healthcare providers are required to file hematology test requisition.
How to fill out hematology test requisition?
Hematology test requisition should be filled out with patient information, specific tests requested, reason for testing, and any other relevant information.
What is the purpose of hematology test requisition?
The purpose of hematology test requisition is to provide necessary information for the laboratory to perform the requested tests and generate accurate results.
What information must be reported on hematology test requisition?
Patient's name, date of birth, medical history, tests requested, reason for testing, and healthcare provider's information must be reported on hematology test requisition.
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