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UC Davis Health Pathology and Laboratory Poincare (POC)Test Request Form
Instructions Department of Pathology and Laboratory Medicine approves all new in vitro diagnostic tests including Poincare
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How to fill out new point-of-care poctest request

How to fill out new point-of-care poctest request
01
Obtain the new point-of-care POCTest request form from the designated area.
02
Fill out patient information including name, date of birth, and medical record number.
03
Specify the type of test being requested and the reason for the test.
04
Indicate the date and time the test should be conducted.
05
Provide any additional relevant information or special instructions.
06
Sign and date the form to confirm completion.
07
Submit the form to the appropriate healthcare provider for processing.
Who needs new point-of-care poctest request?
01
Healthcare providers who require point-of-care testing for their patients.
02
Patients who have been recommended or prescribed a specific point-of-care test by their healthcare provider.
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What is new point-of-care poctest request?
A new point-of-care poctest request is a formal request submitted to authorize a new point-of-care testing procedure.
Who is required to file new point-of-care poctest request?
Healthcare facilities and providers who wish to introduce a new point-of-care testing procedure are required to file the request.
How to fill out new point-of-care poctest request?
The new point-of-care poctest request must be filled out with all relevant information about the testing procedure and its implementation.
What is the purpose of new point-of-care poctest request?
The purpose of the new point-of-care poctest request is to obtain formal authorization for the introduction of a new point-of-care testing procedure.
What information must be reported on new point-of-care poctest request?
The new point-of-care poctest request must include details about the testing procedure, its accuracy, quality control measures, and training for personnel.
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