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CLINICAL LAB REQUEST PT. NO.UW MEDICINE REFERENCE LABORATORY SERVICESMicrobiologyPT NAME (Last, First)PT D.O.B. University of Washington Medical Center UW LAB ACC. # 1959 NE Pacific St, NW 220 Seattle,
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How to fill out clinical lab request
How to fill out clinical lab request
01
Obtain a clinical lab request form from your healthcare provider.
02
Write your personal information such as name, date of birth, and contact information on the form.
03
Provide information about the specific tests you need to be performed by checking the corresponding boxes or writing them down.
04
If necessary, provide additional information or notes for the lab technician.
05
Make sure to follow any fasting or medication instructions provided by your healthcare provider before visiting the lab for specimen collection.
06
Submit the completed form to the lab technician or receptionist during your visit.
Who needs clinical lab request?
01
Patients who require diagnostic testing to assess their health condition.
02
Healthcare providers who are ordering specific tests to aid in diagnosis or treatment planning.
03
Employers or organizations conducting occupational health screenings.
04
Researchers conducting studies that require laboratory analysis.
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What is clinical lab request?
A clinical lab request is a document that specifies the tests to be conducted on a patient's sample in a laboratory.
Who is required to file clinical lab request?
Healthcare providers such as doctors, nurses, and other medical professionals are required to file clinical lab requests.
How to fill out clinical lab request?
To fill out a clinical lab request, the healthcare provider must specify the tests needed, provide patient information, and sign the form.
What is the purpose of clinical lab request?
The purpose of a clinical lab request is to request specific laboratory tests to help diagnose, monitor, or treat a patient's condition.
What information must be reported on clinical lab request?
The clinical lab request must include the patient's name, date of birth, gender, test(s) requested, date and time of sample collection, and healthcare provider's contact information.
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