Get the free Specimen Transmittal Form

This form must be completed and mailed with the specimens upon submission to UCSF. It is used for various specimen types related to cancer research and contains instructions for proper documentation

How to fill out specimen transmittal form

How to fill out specimen transmittal form

1. Obtain the specimen transmittal form from your lab or clinic.
2. Fill in the date of specimen collection.
3. Enter the patient's full name and identification details.
4. Provide the patient's date of birth and other relevant demographic information.
5. Specify the type of specimen being submitted (e.g., blood, urine).
6. Indicate the reason for testing or the tests requested.
7. Include any relevant medical history or clinical information.
8. Check that all information is accurate and complete.
9. Sign and date the form where indicated.
10. Submit the form together with the specimen to the lab.

Who needs specimen transmittal form?

1. Healthcare providers who are sending specimens for laboratory testing.
2. Clinics and medical facilities that need to document patient specimens.
3. Laboratories receiving specimens from external sources.

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What is specimen transmittal form?

A specimen transmittal form is a document used to accompany samples or specimens sent for analysis, testing, or examination, ensuring proper identification and tracking.

Who is required to file specimen transmittal form?

Generally, individuals or entities that are sending specimens for testing, including laboratories, healthcare providers, or researchers, are required to complete and file this form.

How to fill out specimen transmittal form?

To fill out the specimen transmittal form, provide necessary details such as the sender's information, recipient's information, specimen details, and any special handling instructions, ensuring all sections are completed accurately.

What is the purpose of specimen transmittal form?

The purpose of the specimen transmittal form is to facilitate the accurate identification, tracking, and handling of specimens during transport and ensure that laboratory personnel have the necessary information for analysis.

What information must be reported on specimen transmittal form?

Information that must be reported on the specimen transmittal form includes sender and recipient contact information, specimen type and quantity, pertinent patient information, and any specific instructions or notes related to the specimen.