Get the free LABORATORY SPECIMEN REFERRAL LOG

Sioux Falls Service Center PO Box 5045 Sioux Falls SD 57117 605.322.7187 or 800.560.4846 Fax 605.322.7183LABORATORY SPECIMEN REFERRAL LOG Facility: Patient Name Pt. CONFORM ARL.062F1 Rev. 1 01/16/14

How to fill out laboratory specimen referral log

1. Start by entering the date and time of specimen referral on the log.
2. Next, fill in the patient's information, including their name, date of birth, and medical record number.
3. Provide details about the ordering physician or healthcare provider, including their name, contact information, and any relevant identifiers.
4. Specify the type of specimen being referred, such as blood, urine, tissue, or any other relevant sample.
5. Note the reason for the referral, whether it is for diagnostic testing, monitoring, or any other specific purpose.
6. Indicate the test(s) or analysis that needs to be performed on the specimen.
7. Enter any additional instructions or special handling requirements for proper specimen collection, transportation, or storage.
8. If applicable, include the insurance or billing information for the referral.
9. Sign and date the log entry to verify the completion of the referral process.
10. Laboratory specimen referral logs are needed by healthcare facilities, laboratories, and clinics to maintain a record of the specimens being referred for testing. It helps in tracking the progress of the referral, ensuring proper communication between healthcare professionals, and maintaining accurate documentation for legal and quality assurance purposes.

For pdfFiller’s FAQs

What is laboratory specimen referral log?

The laboratory specimen referral log is a document used to track the referral of specimens from one laboratory to another.

Who is required to file laboratory specimen referral log?

Laboratory personnel responsible for sending or receiving specimens are required to file the laboratory specimen referral log.

How to fill out laboratory specimen referral log?

To fill out the laboratory specimen referral log, one must input information such as patient details, specimen type, date and time of referral, recipient laboratory information, and reason for referral.

What is the purpose of laboratory specimen referral log?

The purpose of the laboratory specimen referral log is to ensure the proper tracking and documentation of specimen referrals between laboratories.

What information must be reported on laboratory specimen referral log?

Information such as patient details, specimen type, date and time of referral, recipient laboratory information, and reason for referral must be reported on the laboratory specimen referral log.

How do I execute laboratory specimen referral log online?

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