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DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH NC STATE LABORATORY OF PUBLIC HEALTH 4312 DISTRICT DRIVE RALEIGH, NC 27607 Office:(919) 8078878 Lab: (919) 8078571 Fax (919)7157787
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How to fill out clinical specimen submission form
How to fill out clinical specimen submission form
01
Provide all required information such as patient name, date of birth, specimen type, and reason for testing.
02
Ensure the specimen container is labeled with the patient's name, date of collection, and any other required identifiers.
03
Complete any sections related to ordering physician information, laboratory test requests, and patient demographic details.
04
Include any relevant clinical history or notes that may assist in the interpretation of test results.
05
Follow any specific instructions or guidelines provided by the laboratory for proper submission of the specimen.
Who needs clinical specimen submission form?
01
Healthcare providers
02
Medical professionals
03
Research scientists
04
Laboratory technicians
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What is clinical specimen submission form?
A clinical specimen submission form is a document used by healthcare providers to collect and transmit information related to biological specimens being sent to a laboratory for testing and analysis.
Who is required to file clinical specimen submission form?
Healthcare professionals, including doctors, nurses, and laboratory technicians, are required to file the clinical specimen submission form when sending specimens to a laboratory.
How to fill out clinical specimen submission form?
To fill out the clinical specimen submission form, include patient information, the type of specimen, the tests requested, and any pertinent clinical history or notes. Ensure all required fields are completed accurately.
What is the purpose of clinical specimen submission form?
The purpose of the clinical specimen submission form is to ensure proper identification and documentation of specimens, facilitate laboratory processing, and provide relevant clinical context for accurate diagnosis.
What information must be reported on clinical specimen submission form?
Information that must be reported includes patient identification details, specimen type, source of the specimen, tests requested, clinician's contact information, and any relevant clinical history.
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