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Republic of the Philippines Department of Agriculture BUREAU OF ANIMAL INDUSTRY VETERINARY LABORATORY DIVISIONLABORATORY EXAMINATION REQUEST FORM (GENERAL SAMPLE SUBMISSION) LABORATORY ACCESSION NUMBER:DATE
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How to fill out gf-addrl-14-laboratory-examination-request-form

01
Obtain the GF-ADDRL-14 Laboratory Examination Request Form from the appropriate medical facility or laboratory.
02
Fill in the patient's personal information such as name, date of birth, and contact information.
03
Indicate the requested laboratory examinations to be performed.
04
Provide any additional information or special instructions for the laboratory.
05
Have the form signed by the ordering physician or healthcare provider.
06
Submit the completed form to the laboratory for processing.

Who needs gf-addrl-14-laboratory-examination-request-form?

01
Individuals who require specific laboratory examinations as ordered by their healthcare provider.
02
Healthcare providers who need to request laboratory tests for their patients.
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gf-addrl-14-laboratory-examination-request-form is a form used to request laboratory examinations at a medical facility.
Medical professionals, such as doctors or nurses, are required to file gf-addrl-14-laboratory-examination-request-form for their patients.
To fill out gf-addrl-14-laboratory-examination-request-form, the medical professional needs to provide patient information, examination requests, and any other relevant details.
The purpose of gf-addrl-14-laboratory-examination-request-form is to facilitate the communication of laboratory examination requests between medical professionals and medical facilities.
gf-addrl-14-laboratory-examination-request-form must include patient's name, date of birth, requested examinations, medical history, and contact information of the medical professional.
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