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9123841900 Ext 4140Gerson Paull, M.D., Laboratory Director 1101 Ocilla Road, Douglas, GA 31533OUTPATIENT LABORATORY TEST REQUESTr*3PO*rThis form is to be utilized when patient is referred to outpatient
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What is outpatient laboratory test request?
An outpatient laboratory test request is a formal order from a healthcare provider for laboratory tests to be performed on a patient who is not admitted to a hospital. It includes various tests to determine health status or diagnose conditions.
Who is required to file outpatient laboratory test request?
Healthcare providers, such as doctors or nurse practitioners, who wish to order laboratory tests for their outpatient clients are required to file the outpatient laboratory test request.
How to fill out outpatient laboratory test request?
To fill out an outpatient laboratory test request, the provider must provide patient information, select the appropriate tests required, include any relevant clinical information, and ensure the request is signed and dated.
What is the purpose of outpatient laboratory test request?
The purpose of an outpatient laboratory test request is to facilitate the collection and analysis of samples to help diagnose, monitor, and prevent health conditions in outpatients.
What information must be reported on outpatient laboratory test request?
The outpatient laboratory test request must report patient demographics (name, age, gender), the tests requested, clinical information, provider details, and any specific instructions.
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