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GENETICS AND GENOMICS DIAGNOSIS LABORATORYMailing Address: 3333 Burned Avenue, Room R1042For local courier service and/or inquiries, please contact 5136364474 Fax: 5136364373Cincinnati, OH 45229www.cincinnatichildrens.org/moleculargenetics

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How to fill out pediatric adult requisition pediatric

01

Gather all necessary information such as patient's name, date of birth, and insurance information.

02

Fill out the top section of the requisition form with the patient's personal information.

03

Indicate the tests being requested in the corresponding sections of the form.

04

Provide any additional clinical information or notes that may be relevant to the testing.

05

Complete the ordering physician information at the bottom of the form.

06

Review the completed form for accuracy and completeness before submitting it to the laboratory.

Who needs pediatric adult requisition pediatric?

01

Healthcare providers who are ordering laboratory tests for pediatric patients.

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What is pediatric adult requisition pediatric?

Pediatric adult requisition pediatric is a form used to request medical services for young adults aged 18-21 years old.

Who is required to file pediatric adult requisition pediatric?

Parents or legal guardians of young adults aged 18-21 years old are required to file pediatric adult requisition pediatric.

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To fill out pediatric adult requisition pediatric, parents or legal guardians must provide the young adult's personal information, medical history, and reason for the medical services request.

What is the purpose of pediatric adult requisition pediatric?

The purpose of pediatric adult requisition pediatric is to ensure that young adults aged 18-21 years old receive proper medical care and services.

What information must be reported on pediatric adult requisition pediatric?

Information such as the young adult's name, date of birth, contact information, medical history, insurance details, and reason for the medical services request must be reported on pediatric adult requisition pediatric.

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