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Appointment
Date/Time:Patient Information
Name:______Pulmonary Function Test
Requisition
Department of Respiratory Therapy
Georgian Bay General Hospital
Tel. (705) 5261300 Ext. 5090
Fax. (705) 5267837DOB
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How to fill out pulmonary function test requisition
How to fill out pulmonary function test requisition
01
Start by entering the patient's demographic information such as name, date of birth, and contact information.
02
Indicate the reason for the test by selecting the appropriate clinical indication from the provided list.
03
Specify any relevant medical history or current medications that may impact the test results.
04
Include any additional instructions or specific requirements for the test, such as fasting or medication restrictions.
05
Ensure all sections of the requisition form are filled out completely and accurately before submitting it to the testing facility.
Who needs pulmonary function test requisition?
01
Individuals who are experiencing symptoms of lung disease or respiratory problems may need a pulmonary function test requisition.
02
Healthcare providers, such as pulmonologists, general practitioners, and respiratory therapists, may also request a pulmonary function test requisition to assess lung function and diagnose respiratory conditions.
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What is pulmonary function test requisition?
Pulmonary function test requisition is a medical order for a patient to undergo a series of tests to assess their lung function.
Who is required to file pulmonary function test requisition?
Healthcare providers such as doctors, pulmonologists, or respiratory therapists are required to file pulmonary function test requisitions.
How to fill out pulmonary function test requisition?
Pulmonary function test requisitions can be filled out by providing the patient's information, medical history, and reason for the test.
What is the purpose of pulmonary function test requisition?
The purpose of a pulmonary function test requisition is to assess the lung function of a patient and diagnose any potential respiratory conditions.
What information must be reported on pulmonary function test requisition?
The information reported on a pulmonary function test requisition includes patient demographics, medical history, and test results.
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