Get the free Standard out-patient laboratory requisition - Gov.bc.ca

Outside Lab Order ***ALL INFORMATION IS REQUIRED*** Patient Last Name:___ First Name:___ MI:___ Date of Birth: ___/___/___Banner ID # ___ Address: ___ StreetCityStateZip×COPY OF INSURANCE CARD AND

How to fill out standard out-patient laboratory requisition

How to fill out standard out-patient laboratory requisition

1. Obtain the standard out-patient laboratory requisition form from the healthcare provider.
2. Fill in the patient's personal information such as name, date of birth, and contact information.
3. Provide details of the tests requested by the healthcare provider, including the type of test and any specific instructions.
4. Specify the date and time the sample will be collected.
5. Sign and date the requisition form as required.
6. Submit the completed form to the laboratory for processing.

Who needs standard out-patient laboratory requisition?

1. Patients who have been referred by their healthcare provider for specific laboratory tests.
2. Healthcare providers who are requesting laboratory tests for their patients.

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What is standard out-patient laboratory requisition?

Standard out-patient laboratory requisition is a form used to request laboratory tests for patients who are not admitted to a hospital.

Who is required to file standard out-patient laboratory requisition?

Healthcare providers such as doctors, nurses, or other medical professionals are required to file standard out-patient laboratory requisition for their patients.

How to fill out standard out-patient laboratory requisition?

Standard out-patient laboratory requisition must be filled out by providing the patient's personal information, the tests to be conducted, the reason for the tests, and the healthcare provider's information.

What is the purpose of standard out-patient laboratory requisition?

The purpose of standard out-patient laboratory requisition is to provide a standardized way to request and track laboratory tests for patients receiving outpatient care.

What information must be reported on standard out-patient laboratory requisition?

Standard out-patient laboratory requisition must include the patient's name, date of birth, contact information, tests requested, reason for the tests, and healthcare provider's name and credentials.