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Get the free UHN HLA Lab Requisition External Referral from Sunnybrook to PM

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DONNYBROOK HOSPITAL PATIENTPatient/Donor Name: MAN:Princess Margaret Cancer Center IEC Program Allergenic Hematopoietic Stem Cell TransplantRegional Biocompatibility Lab DOB: Draw Date:Sex: Patient
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01
Obtain a copy of the UHN HLA lab requisition form.
02
Fill in the patient's personal information, including their full name, date of birth, and contact information.
03
Provide the patient's medical record number if available.
04
Indicate the requested tests or procedures in the appropriate section of the requisition form.
05
Specify any special instructions or additional information that may be relevant to the testing process.
06
Ensure that the form is signed and dated by the ordering physician or healthcare provider.
07
Submit the completed requisition form to the UHN HLA lab for processing.

Who needs uhn hla lab requisition?

01
Patients who require HLA (Human Leukocyte Antigen) testing for various purposes, such as organ transplantation, stem cell transplantation, or identifying genetic markers for certain diseases, may need to fill out a UHN HLA lab requisition form.
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The UHN HLA lab requisition is a form used to request testing services related to human leukocyte antigen (HLA) typing for organ transplantation, paternity testing, and other medical purposes.
Healthcare providers, including doctors and medical professionals, are required to file the UHN HLA lab requisition on behalf of patients who need HLA testing.
To fill out the UHN HLA lab requisition, you need to provide patient details, including full name, date of birth, unique identification numbers, and specify the type of tests required. It's essential to follow the instructions provided on the form.
The purpose of the UHN HLA lab requisition is to facilitate the testing and typing of HLA markers in patients for various medical decisions, including organ transplantation compatibility and disease association.
The information that must be reported includes patient demographics (name, ID, date of birth), test requirements, physician details, and any relevant medical history necessary for accurate testing.
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