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High Street, Newmarket, Suffolk, CB8 8JS Tel: +44 (0)1638 663017 Fax: +44 (0)1638 560780 Email: laboratory@rossdales.com www.rossdales.com/laboratoryClinical Pathology & Microbiology Request Form PRACTICE
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A clinical pathology microbiology request is a formal document submitted by healthcare providers to a laboratory to obtain diagnostic testing of specimens for the presence of microorganisms, such as bacteria, viruses, fungi, or parasites.
Healthcare providers, such as physicians and nurse practitioners, are required to file clinical pathology microbiology requests on behalf of patients for diagnostic testing.
To fill out a clinical pathology microbiology request, include patient information (name, date of birth, contact details), the clinical history, the type of specimen collected, the specific tests requested, and the healthcare provider's details along with their signature.
The purpose of a clinical pathology microbiology request is to diagnose infections, guide treatment decisions, monitor disease progression, and assess the effectiveness of therapy by identifying and characterizing microorganisms in clinical specimens.
The information that must be reported includes patient demographics, specimen type and collection date, clinical information and symptoms, tests requested, and the clinician's information.
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