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PHYSICIAN ORDER FORM LAB 1University of Kentucky Healthcare Chandler & Good Sam Lexington, KY Date/Time of Collection:Collector:DARK PURPLE DK PATIENT ID:Accession #:Medical Record #LARA label by:Date
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How to fill out physician order form lab

01
Obtain the physician order form lab from the healthcare provider
02
Fill out the patient's demographic information, such as name, date of birth, and identification number
03
Specify the type of lab test requested by the physician
04
Provide any relevant medical history or information that may impact the lab results
05
Review the form for accuracy and completeness before submitting it to the lab

Who needs physician order form lab?

01
Patients who have been prescribed lab tests by their healthcare provider
02
Healthcare professionals who are ordering lab tests for their patients
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Physician order form lab is a document used to request laboratory tests for a patient.
Physicians or healthcare providers are required to file physician order form lab for their patients.
Physician order form lab can be filled out by providing patient information, requested tests, and physician signature.
The purpose of physician order form lab is to ensure that the correct laboratory tests are conducted for a patient.
Patient demographics, requested tests, physician information, and date of order must be reported on physician order form lab.
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