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PRINTED: 07/23/2015 FORM APPROVED Illinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Collect all necessary information such as patient's personal details, medical history, and information about the tests to be conducted.
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Follow any specific instructions provided by the healthcare provider or laboratory staff.
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Submit the completed form along with any relevant samples or specimens to the laboratory.

Who needs medical laboratories forms?

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Patients who require medical tests or procedures.
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Healthcare providers who need to order tests for their patients.
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Laboratory staff who need to process and analyze samples and specimens.
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Medical laboratories forms are documents used by medical facilities to report information related to laboratory testing, results, and patient information.
Medical laboratories forms must be filed by medical facilities that perform laboratory testing on patients.
Medical laboratories forms are typically filled out by trained medical professionals and include information such as patient demographics, test results, and physician orders.
The purpose of medical laboratories forms is to ensure accurate reporting of laboratory test results, track patient information, and facilitate communication between healthcare providers.
Information that must be reported on medical laboratories forms includes patient demographics, test orders, specimen collection details, test results, and physician information.
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