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SHIP TO: National Jewish HealthImmunology Laboratory 1400 Jackson Street, Room M013 Denver, CO 80206Immunology Laboratory | 800.550.6227, Option 6 phone | 303.270.2175 fax | njlabs.orgChemistry/Hematology

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How to fill out chemistryhematology requisition

01

Obtain the requisition form from the laboratory or download it from the hospital's website.

02

Fill out the patient's name, date of birth, and medical record number on the form.

03

Indicate the date and time the sample was collected.

04

Specify the tests requested along with any additional instructions or notes.

05

Provide your contact information in case the lab needs to reach you for clarification.

06

Review the form for accuracy and completeness before submitting it to the lab.

Who needs chemistryhematology requisition?

01

Patients requiring chemistry and hematology testing as part of their diagnostic workup

02

Healthcare providers ordering laboratory tests for their patients

03

Hospitals, clinics, and other healthcare facilities collecting samples for analysis

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What is chemistryhematology requisition?

Chemistryhematology requisition is a form that requests laboratory tests to analyze chemical and blood components in a patient's sample.

Who is required to file chemistryhematology requisition?

Healthcare providers, such as doctors or nurses, are required to file chemistryhematology requisitions for their patients.

How to fill out chemistryhematology requisition?

To fill out a chemistryhematology requisition, healthcare providers need to provide patient information, specific tests requested, and any relevant clinical information.

What is the purpose of chemistryhematology requisition?

The purpose of chemistryhematology requisition is to help diagnose and monitor medical conditions based on the analysis of chemical and blood components.

What information must be reported on chemistryhematology requisition?

Patient demographics, test ordered, date and time of collection, and healthcare provider information must be reported on chemistryhematology requisition.

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