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LPL/R/QF/2753HLA TYPING REQUISITION FORM FOR BONE MARROW TRANSPLANT (Form 16) Hematopoietic Stem Cell Transplantation Referring Doctors information Referring Doctors name: Email address: Mobile cumbersome
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How to fill out hla typing requisition form
How to fill out hla typing requisition form
01
Obtain the HLA typing requisition form from the laboratory or healthcare provider.
02
Fill out the patient's personal information including name, date of birth, and medical record number.
03
Provide the reason for the HLA typing test and any relevant clinical information.
04
Specify the type of HLA typing needed (e.g. HLA class I or II typing).
05
Indicate the source of the sample (e.g. blood, saliva, tissue).
06
Include any special instructions or requests for the laboratory.
07
Sign and date the form before submitting it to the laboratory.
Who needs hla typing requisition form?
01
Patients who require HLA typing to determine compatibility for organ or tissue transplantation.
02
Healthcare providers who are ordering HLA typing tests for their patients.
03
Researchers conducting studies that involve HLA typing.
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What is hla typing requisition form?
The HLA typing requisition form is a document used to request Human Leukocyte Antigen (HLA) testing to determine tissue compatibility for organ and tissue transplantation.
Who is required to file hla typing requisition form?
Healthcare providers, transplant centers, and individuals in need of organ or tissue transplantation are required to file the HLA typing requisition form.
How to fill out hla typing requisition form?
The HLA typing requisition form should be filled out with the required patient information, testing requested, and signed by the healthcare provider before submission.
What is the purpose of hla typing requisition form?
The purpose of the HLA typing requisition form is to ensure accurate and timely testing for tissue compatibility in organ and tissue transplantation procedures.
What information must be reported on hla typing requisition form?
The HLA typing requisition form must include patient demographics, relevant medical history, testing requested, and healthcare provider information.
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