Get the free UHN HLA Lab Requisition External Referral from London ON BMT to PM

Name:___ DOB: ___Sex: ___Requisition for London ON BMT referral to Regional Biocompatibility Health Card#___UNCLE Laboratory 200 Elizabeth Street, 11E444 Toronto, Ontario M5G 2C4 416.340.4995 Fax

How to fill out uhn hla lab requisition

How to fill out uhn hla lab requisition

1. Obtain the UHN HLA lab requisition form.
2. Start by filling out your personal information such as your full name, date of birth, and contact information in the designated fields.
3. Provide your Health Card Number or any other identification number required.
4. Indicate the reason for the HLA lab requisition, whether it is for transplantation, testing compatibility, or any other purpose.
5. If applicable, provide the name of the referring physician and their contact information.
6. Fill in the details of the specific HLA test or tests requested by your healthcare provider.
7. Make sure to accurately provide the date and time of collection for the sample.
8. Follow any additional instructions provided, such as fasting requirements or specific sample collection procedures.
9. Review all the filled information for accuracy and completeness.
10. Sign and date the form to confirm your consent and understanding of the lab requisition.
11. Submit the completed HLA lab requisition form to the appropriate healthcare facility or laboratory.
12. Keep a copy of the lab requisition for your records, if desired.

Who needs uhn hla lab requisition?

1. Individuals who are planning to undergo organ or tissue transplantation may require a UHN HLA lab requisition.
2. Patients who need to determine their compatibility with a potential donor for transplantation.
3. Healthcare providers who need to assess the HLA profile of a patient for diagnostic or treatment purposes.
4. Researchers studying human leukocyte antigens and their role in immune responses may require HLA lab requisitions.
5. Patients involved in clinical trials or research studies that involve HLA testing may also need the lab requisition form.
6. Individuals with suspected HLA-related disorders or autoimmune diseases may be recommended to undergo HLA testing through lab requisitions.
7. Individuals seeking to know their HLA profile for personal or genealogical purposes may opt for HLA lab requisitions as well.

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What is uhn hla lab requisition?

The UHN HLA lab requisition is a document used to request human leukocyte antigen (HLA) testing for patients under the care of University Health Network (UHN) laboratories.

Who is required to file uhn hla lab requisition?

Healthcare providers, including physicians and specialists who need HLA testing for their patients, are required to file the UHN HLA lab requisition.

How to fill out uhn hla lab requisition?

To fill out the UHN HLA lab requisition, provide patient information, select the specific tests required, sign the form, and ensure all fields are accurately completed.

What is the purpose of uhn hla lab requisition?

The purpose of the UHN HLA lab requisition is to facilitate the testing for tissue compatibility, organ transplantation, and other immunological assessments.

What information must be reported on uhn hla lab requisition?

Information that must be reported includes patient demographics, clinical indications for testing, specific tests requested, and physician details.