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BBH received Date ___ Time___ Initials ___Request for Reference Laboratory Consultation Please fax request to (808) 8484768 and notify Reference Lab at (808) 8484750 or (808) 8484700 prior to sending
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How to fill out request for reference laboratory
How to fill out request for reference laboratory
01
Contact the reference laboratory to obtain a request form.
02
Fill out the request form with all required information including patient details, testing needed, and any relevant medical history.
03
Ensure that the request form is signed and dated by the ordering healthcare provider.
04
Submit the completed request form to the reference laboratory either in person, by mail, or electronically.
Who needs request for reference laboratory?
01
Healthcare providers such as doctors, nurses, and other medical professionals who require specialized testing or analysis that cannot be performed in-house.
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What is request for reference laboratory?
A request for reference laboratory is a formal submission made by a laboratory to request services or testing from another accredited laboratory.
Who is required to file request for reference laboratory?
Any laboratory looking to outsource services or testing to another accredited laboratory must file a request for reference laboratory.
How to fill out request for reference laboratory?
The request for reference laboratory can be filled out by providing details of the requested services or testing, specifying turnaround time, and including any necessary documentation.
What is the purpose of request for reference laboratory?
The purpose of the request for reference laboratory is to ensure quality services or testing are provided by an accredited laboratory that may have specialized equipment or expertise.
What information must be reported on request for reference laboratory?
The request for reference laboratory must include details of the requested services or testing, turnaround time, necessary documentation, and contact information.
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