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Pathology Hematology RWF-BS-HAEM-F91 Revision: 1.1 D-DIMER ADDITIONAL REQUEST INFORMATION. Please print, complete and send with sample van Patient name: Date of birth: Patient Number: Consultant/GP:
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How to fill out a d-dimer request formdoc:

01
Begin by gathering all necessary information before starting to fill out the form. This may include the patient's full name, date of birth, contact information, and relevant medical history.
02
Look for the specific sections on the form that require your input. These may include sections for ordering physician's name, patient demographics, clinical information, and any additional instructions or notes.
03
Always double-check the accuracy of the information you are entering. It is crucial to avoid any errors or typos that could potentially lead to misunderstandings or delays in the testing process.
04
Be sure to sign and date the form appropriately, as required. This signature indicates your authorization and responsibility for requesting the d-dimer test.
05
Submit the completed form through the designated channels, such as delivering it to the laboratory or sending it electronically. Follow any specific instructions provided for proper form submission.
06
In case of any questions or confusion while filling out the form, don't hesitate to reach out to the laboratory or healthcare provider for assistance.

Who needs a d-dimer request formdoc:

01
Physicians or healthcare providers who suspect that a patient may have blood clotting issues or conditions such as deep vein thrombosis (DVT), pulmonary embolism (PE), or disseminated intravascular coagulation (DIC).
02
Patients who present with symptoms such as unexplained swelling, pain, or warmth, especially in the legs or arms.
03
Individuals who have a history of blood clotting disorders or have undergone recent surgeries or immobilization for an extended period.
04
Patients who are at a high risk of developing blood clots due to certain medical conditions like cancer, heart disease, or pregnancy.
05
Individuals who are on anticoagulant medications or are being monitored for the effectiveness of their current treatment plan.
06
Anyone who has been advised by their healthcare provider to undergo a d-dimer test for diagnostic or monitoring purposes.
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D-dimer request formdoc is a document used to request d-dimer blood tests.
Healthcare providers or medical professionals may be required to file the d-dimer request formdoc.
To fill out the d-dimer request formdoc, you need to provide patient information, reason for the test, and any other relevant details.
The purpose of d-dimer request formdoc is to request d-dimer blood tests for diagnostic purposes.
The d-dimer request formdoc must include patient's name, date of birth, healthcare provider's information, reason for the test, and any other relevant details.
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