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This document is a request form for reference laboratory testing provided by Memorial Blood Centers. It outlines the required information and specimen requirements for various blood tests, including ABO/Rh typing, antibody screening, and transfusion reaction investigations. Additionally, it specifies labeling and specimen transport requirements, as well as staffing hours for the laboratory.
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A request for reference laboratory is a formal submission from a healthcare provider or institution to a specialized laboratory to conduct specific tests or analyses that may not be available in local or routine labs.
Healthcare providers such as doctors, specialists, or medical facilities that require advanced diagnostic tests are typically the ones required to file a request for a reference laboratory.
To fill out a request for reference laboratory, the provider must include patient identification details, clinical information, specific tests required, specimen type, and any relevant medical history or availability.
The purpose of a request for reference laboratory is to obtain accurate, high-quality diagnostic testing that aids in the diagnosis, treatment, and management of patients.
The information that must be reported includes the patient's full name, date of birth, medical record number, the specific tests being requested, and any pertinent clinical history or symptoms.
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