Get the free Microbiology Requisition H-445 - City of Milwaukee
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Req Scan Label Microbiology
Requisition. Location: ___General Inquiries: (306) 7668900Patient Name:___(last)___(first)___Requesting Physician (full name required)
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Last
First
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Location/Facility/ClinicRQHR
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How to fill out microbiology requisition h-445
How to fill out microbiology requisition h-445
01
Obtain a microbiology requisition h-445 form.
02
Fill out the patient's information, including full name, date of birth, and medical record number.
03
Indicate the ordering physician's name and contact information.
04
Specify the tests requested, including type of sample (e.g. blood, urine, stool) and any additional details.
05
Provide any relevant clinical information or symptoms that may help in the diagnosis.
06
Sign and date the requisition form to certify the request.
07
Submit the completed form along with the sample to the laboratory for testing.
Who needs microbiology requisition h-445?
01
Healthcare professionals who are ordering microbiology tests for patients.
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What is microbiology requisition h-445?
Microbiology requisition H-445 is a specific document used to collect and submit microbiological test samples for analysis in compliance with health regulations.
Who is required to file microbiology requisition h-445?
Individuals or organizations engaged in diagnostic microbiology testing or similar activities are required to file microbiology requisition H-445.
How to fill out microbiology requisition h-445?
To fill out microbiology requisition H-445, provide accurate information in all required fields, including the type of sample, patient details, and any pertinent medical history related to the testing.
What is the purpose of microbiology requisition h-445?
The purpose of microbiology requisition H-445 is to facilitate the correct identification and analysis of microbiological samples, ensuring reliable laboratory results.
What information must be reported on microbiology requisition h-445?
Information that must be reported on microbiology requisition H-445 includes patient identification, sample type, collection date, requesting physician, and any specific tests to be performed.
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