Get the free Specimen Requisition

A form used for requisitioning different types of specimen tests in the Department of Pathology & Laboratory Medicine. It includes patient information, specimen details, and requested drug tests.

How to fill out specimen requisition

How to fill out specimen requisition

1. Obtain a specimen requisition form from your healthcare provider or laboratory.
2. Fill in the patient's personal information, including name, date of birth, and contact details.
3. Indicate the type of specimen being collected (e.g., blood, urine, tissue).
4. List the tests required as per the physician's orders.
5. Include the date and time of the specimen collection.
6. Provide any necessary clinical information or history relevant to the tests.
7. Ensure that the healthcare provider's information and signature are included if required.
8. Review the completed requisition for accuracy before submitting it with the specimen.

Who needs specimen requisition?

1. Specimen requisitions are needed by healthcare providers, such as doctors and nurses, to facilitate the collection and testing of patient specimens.
2. Laboratories require these forms to accurately process and identify specimens when they arrive for analysis.
3. Patients undergoing medical tests will be involved in the requisition process to ensure the correctness of their information.

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What is specimen requisition?

Specimen requisition is a formal request for the collection and testing of a biological sample, such as blood, urine, or tissue, for diagnostic or research purposes.

Who is required to file specimen requisition?

Typically, healthcare providers such as doctors, physicians, or medical professionals who order diagnostic tests are required to file specimen requisitions.

How to fill out specimen requisition?

To fill out a specimen requisition, you must provide patient information, test requested, reason for the test, and any specific instructions for handling or testing the specimen.

What is the purpose of specimen requisition?

The purpose of specimen requisition is to ensure accurate identification of specimens, facilitate proper testing, and communicate necessary information between the provider and the laboratory.

What information must be reported on specimen requisition?

Information that must be reported on a specimen requisition includes the patient's full name, date of birth, medical record number, test(s) requested, and relevant clinical history.