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St. Vincent Health Direct Access Testing Consent REQUEST FOR LABORATORY EVALUATION TO BE REPORTED TO PATIENT ONLY (PATIENT SELFREFERRAL FOR TESTING) To be completed by patient for Direct Access Laboratory
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How to fill out direct access testing consent
How to fill out direct access testing consent
01
Obtain the direct access testing consent form from the healthcare facility or online platform.
02
Read the instructions carefully and ensure that you understand the purpose and implications of giving consent.
03
Fill out your personal information such as name, date of birth, and contact details.
04
Provide information about the type of test or tests you are requesting.
05
Sign and date the form to indicate your consent to proceed with the testing.
06
Submit the completed form to the healthcare facility or online platform as instructed.
Who needs direct access testing consent?
01
Anyone who wishes to undergo direct access testing needs to fill out a direct access testing consent form. This form is required to ensure that the individual is aware of the tests being conducted and gives informed consent for the testing to proceed.
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What is direct access testing consent?
Direct access testing consent is the permission given by an individual to allow a laboratory to perform medical tests without a physician's order.
Who is required to file direct access testing consent?
Any individual who wishes to undergo medical tests without a physician's order is required to file direct access testing consent.
How to fill out direct access testing consent?
Direct access testing consent can be filled out by providing personal information, selecting the desired tests, and signing the consent form.
What is the purpose of direct access testing consent?
The purpose of direct access testing consent is to ensure that individuals understand and agree to undergo medical tests without a physician's order.
What information must be reported on direct access testing consent?
Direct access testing consent must include personal information of the individual, selected tests, date of consent, and signature.
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