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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
Start by carefully reading the instructions on the formdoc. It is important to understand what information needs to be provided and how it should be formatted.
02
Begin by filling out your personal information. This may include your name, date of birth, address, and contact information. Make sure to double-check the accuracy of this information as any mistakes could lead to delays or incorrect results.
03
Next, you will likely be asked to provide your medical history. This may include any relevant conditions, current medications, surgeries, or allergies that could impact the interpretation of the d-dimer test. Be as thorough as possible to provide the healthcare provider with all the necessary information.
04
Indicate the reason for requesting the d-dimer test. This could include symptoms, such as chest pain or shortness of breath, or as part of a routine screening for certain conditions. Clearly state the purpose to ensure proper evaluation and interpretation of the results.
05
If there are any specific instructions or additional information required, make sure to carefully follow them and provide the requested details. This could include fasting requirements, specific testing preferences, or additional tests that need to be done simultaneously.

Who needs a d-dimer request formdoc:

01
Patients with suspected deep vein thrombosis (DVT) or pulmonary embolism (PE) may need a d-dimer test to help confirm or rule out these conditions. DVT is a blood clot that typically forms in the leg, while PE is a blockage in the arteries of the lungs. The d-dimer test is often used as a screening tool to detect the presence of blood clots.
02
Individuals with a history of blood clotting disorders or a family history of such conditions may also require a d-dimer test. This helps to evaluate their risk and monitor their condition.
03
Healthcare providers may order a d-dimer test for patients who are at risk of developing blood clots due to factors such as pregnancy, recent surgery, prolonged immobility, or certain medical conditions like cancer or heart disease.
Remember, it is always important to consult with a healthcare professional to determine if a d-dimer test is appropriate for your specific situation and to ensure accurate interpretation of the results.
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It is a form used to request d-dimer testing.
Medical professionals or healthcare providers are required to file d-dimer request formdoc.
The form must be filled out with patient information, reason for testing, and any relevant medical history.
The purpose is to request d-dimer testing to help diagnose blood clotting disorders or conditions.
Patient's personal information, reason for testing, relevant medical history, and requesting healthcare provider's information.
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