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LABORATORY REQUISITION
www.wellspanlabs.org
PATIENT Impatient Demographics(Last)(First)(Middle)Physician InformationOrdering Provider Name & Credentials (Printed)ADDRESS
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How to fill out laboratory requisition - wellspan
How to fill out laboratory requisition - wellspan
01
Obtain a laboratory requisition form from your healthcare provider.
02
Fill out your personal information including your name, date of birth, and contact information.
03
Provide information about the tests your healthcare provider has ordered including the test name and any specific instructions.
04
Make sure to sign and date the form before submitting it to the laboratory.
Who needs laboratory requisition - wellspan?
01
Patients who have been ordered specific tests by their healthcare provider at Wellspan will need to fill out a laboratory requisition form.
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What is laboratory requisition - wellspan?
A laboratory requisition at WellSpan is a form used to request certain lab tests or services.
Who is required to file laboratory requisition - wellspan?
Medical professionals such as doctors, nurses, or healthcare providers are required to file laboratory requisitions at WellSpan.
How to fill out laboratory requisition - wellspan?
To fill out a laboratory requisition at WellSpan, one must provide patient information, requested tests, and any relevant clinical details.
What is the purpose of laboratory requisition - wellspan?
The purpose of a laboratory requisition at WellSpan is to accurately request and document the necessary lab tests or services for a patient.
What information must be reported on laboratory requisition - wellspan?
Patient demographics, requested tests, clinical information, and ordering provider details must be reported on a laboratory requisition at WellSpan.
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