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MONROE COUNTY CRIME LABORATORY 85 W. Broad Street, Rochester, NY 14614 (585)7533535Evidence Intake Form Lab Case Number: ___(Laboratory Use Only) Agency: ___CR Number: ___Offense: ___Lot Number: ___NYS
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How to fill out laboratory priority request form

01
Obtain the laboratory priority request form from the designated source.
02
Fill in the patient's personal information accurately, including name, date of birth, and medical record number.
03
Specify the tests that need to be conducted and provide any additional relevant information regarding the request.
04
Indicate the level of urgency or priority for the request, if applicable.
05
Review the completed form for any errors or missing information before submitting it to the laboratory.

Who needs laboratory priority request form?

01
Healthcare providers such as doctors, physician assistants, and nurse practitioners who require specific tests to be performed urgently or on a priority basis.
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The laboratory priority request form is a document used to expedite the processing of urgent tests or samples.
Healthcare providers, researchers, or individuals who require urgent testing or analysis may be required to file a laboratory priority request form.
The form typically requires information about the patient or sample, the specific tests needed, and the reason for the request. It may also include contact information and any relevant medical history.
The purpose of the form is to ensure that urgent tests are prioritized and processed quickly to meet the needs of the requesting party.
The form may require information such as patient or sample identification, the tests required, the reason for the request, contact information, and any relevant medical history.
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