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Patient Name:___
Birthdate:Sex: ___UHF HLA Lab Requisition for TypingLifelabsRegional Biocompatibility Lab
UNCLE Laboratory
200 Elizabeth Street, 11E444
Toronto, Ontario M5G 2C4
416.340.4995 Fax 416.340.3133OHC#:___
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How to fill out hla-histocompatibility-requisition-form
How to fill out hla-histocompatibility-requisition-form
01
Obtain the HLA Histocompatibility Requisition Form from the lab or download it from the lab's website.
02
Fill out the patient information section including name, date of birth, and medical record number.
03
Provide details of the testing requested, such as HLA typing or crossmatching.
04
Indicate the reason for the testing and any relevant clinical information.
05
Include the signature of the ordering physician and date.
06
Submit the completed form to the lab for processing.
Who needs hla-histocompatibility-requisition-form?
01
Medical professionals such as physicians, surgeons, and transplant coordinators who are requesting HLA histocompatibility testing for their patients.
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What is hla-histocompatibility-requisition-form?
It is a form used to request histocompatibility testing.
Who is required to file hla-histocompatibility-requisition-form?
Medical professionals or researchers who need histocompatibility testing done.
How to fill out hla-histocompatibility-requisition-form?
The form must be filled out with patient information, testing request, and provider details.
What is the purpose of hla-histocompatibility-requisition-form?
The purpose is to request histocompatibility testing to determine tissue compatibility.
What information must be reported on hla-histocompatibility-requisition-form?
Patient demographics, testing requested, provider information.
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