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This document is a lab requisition form for the Immunology Laboratory at The Children\'s Hospital of Philadelphia. It is used to collect patient information and laboratory test requests from healthcare providers. The form includes sections for patient demographic details, ordering physician information, sample type, and details about the tests being requested.

How to fill out lab requisition

How to fill out lab requisition

1. Obtain the lab requisition form from the clinic or laboratory.
2. Fill in the patient's personal information, including name, date of birth, and contact details.
3. Specify the type of tests required by checking the appropriate boxes or writing them in.
4. Indicate the physician's information, including name and contact number.
5. Provide any relevant clinical information or patient history if required.
6. Review the form for accuracy and completeness.
7. Sign and date the requisition if necessary.
8. Submit the form to the laboratory along with the patient’s sample.

Who needs lab requisition?

1. Patients requiring medical testing to diagnose or monitor health conditions.
2. Doctors requesting laboratory tests for their patients.
3. Hospitals or clinics facilitating lab testing for patient care.
4. Insurance companies that may need lab requisition for claims processing.

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What is lab requisition?

A lab requisition is a formal request made by a healthcare provider to a laboratory for specific tests or analyses to be conducted on a patient's samples.

Who is required to file lab requisition?

Typically, healthcare providers such as doctors, nurse practitioners, or physician assistants file lab requisitions on behalf of their patients.

How to fill out lab requisition?

To fill out a lab requisition, you must complete patient information, specify the tests to be performed, include relevant medical history, and provide the healthcare provider's information and signature.

What is the purpose of lab requisition?

The purpose of a lab requisition is to communicate necessary information to the laboratory for processing tests, ensuring accurate results for patient diagnosis and treatment.

What information must be reported on lab requisition?

Required information typically includes patient demographics, test details, physician's information, diagnosis, and any special instructions.