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LABORATORYREQUISITIONFORM FOR. C. PATIENTLY FCD0022 v15BCCentreforExcellenceinHIV/AIDS 6041081BurrardStreet,Vancouver, BC,V6Z1Y6 T:6048068775F:6048069463A) PATIENTINFORMATION Last Name) REQUESTORINFORMATION
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How to fill out laboratory requisition form for

01
Obtain the laboratory requisition form from the healthcare provider.
02
Fill out personal information such as name, date of birth, and contact information.
03
Provide information about the tests that need to be done including test names and codes if available.
04
Write down any relevant medical history or symptoms that need to be considered for testing.
05
Confirm any insurance information or payment details that need to be included.
06
Sign and date the form before submitting it to the laboratory.

Who needs laboratory requisition form for?

01
Patients who are prescribed laboratory tests by their healthcare provider.
02
Healthcare providers who need to request specific tests for their patients.
03
Researchers who require lab testing for their studies or experiments.
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The laboratory requisition form is used to request specific tests or procedures to be performed in a laboratory.
Medical professionals, such as doctors or nurses, are typically required to file laboratory requisition forms.
The laboratory requisition form should be filled out with the patient's information, the tests requested, and any relevant medical history.
The purpose of the laboratory requisition form is to ensure that the correct tests are performed on a patient's sample.
The laboratory requisition form must include the patient's name, date of birth, the tests requested, and the ordering physician's information.
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