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Mercy Medical Center North IowaReference Lab Mayo1000 4th St SW Mason City, Iowa 50401 pH.: (641) 4227494Referral FormLaboratory Microbiology Department Name / Address of Physician / Organization:Phone:FAX
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How to fill out reference lab mayo referral

01
Fill out the patient information section completely including full name, date of birth, and MRN.
02
Indicate the tests to be performed by checking the appropriate boxes or writing in the test names.
03
Provide clinical information and reason for referral in the indicated section.
04
Include any relevant clinical history, medications, and pertinent findings.
05
Ensure that the ordering physician's name, signature, and contact information are clearly stated.
06
Send the completed form along with any relevant specimens to the reference lab Mayo.

Who needs reference lab mayo referral?

01
Patients who require specialized testing that cannot be done in-house at their current healthcare facility.
02
Physicians who are seeking a second opinion or additional expertise for complex cases.
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Reference lab mayo referral is a process of referring laboratory tests to Mayo Clinic for further analysis or consultation.
Healthcare providers or facilities who require specialized testing or expert consultation may file a reference lab mayo referral.
To fill out a reference lab mayo referral, healthcare providers must complete the necessary forms provided by Mayo Clinic and include all relevant patient information and test details.
The purpose of reference lab mayo referral is to obtain specialized testing or expert consultation from Mayo Clinic for complex or rare cases.
Information such as patient demographics, test requested, reason for referral, relevant medical history, and any previous test results must be reported on a reference lab mayo referral.
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