Get the free Sentara Laboratory Services Requisition Order Form

Sinatra Laboratory Services Requisition Order Form Please complete online form, print and fax to (757) 3883270 or 'save as and email to Robert sentara.com Client Code: Date: Phone: Practice Name:

How to fill out sentara laboratory services requisition

How to fill out sentara laboratory services requisition:

1. Start by entering the patient's personal information, including their name, address, date of birth, and contact information. This will ensure that the correct results are attributed to the right individual.
2. Next, provide the patient's insurance information, including their insurance provider and policy number. This is important for billing purposes and to ensure the necessary tests are covered by the insurance.
3. Indicate the reason for the laboratory services requisition. This could be a specific test that needs to be performed or a general wellness check-up. Providing clear and accurate information will help the laboratory technicians understand the purpose of the request.
4. Specify the type of specimen required for testing. Different tests may require different samples, such as blood, urine, or tissue. Make sure to indicate the specific type of sample needed for the requested tests.
5. If applicable, provide any additional instructions or special requirements for the laboratory technicians. This could include fasting requirements before certain tests or specific time frames for sample collection.
6. Finally, ensure that all necessary signatures are obtained. This typically includes the patient's signature as well as the ordering healthcare provider's signature. This confirms that the patient has given consent for the tests and that the healthcare provider has authorized the request.

Who needs sentara laboratory services requisition?

1. Patients who require laboratory testing to diagnose or monitor a medical condition.
2. Healthcare providers who need to order specific tests for their patients.
3. Insurance companies who require proof of medical necessity for coverage purposes.
4. Researchers who require laboratory analysis for their studies or projects.
5. Any individual or organization that requires accurate and reliable laboratory testing for various purposes.

For pdfFiller’s FAQs

What is sentara laboratory services requisition?

Sentara laboratory services requisition is a form required to request specific laboratory tests or services from the Sentara HealthCare system.

Who is required to file sentara laboratory services requisition?

Medical professionals, such as doctors, nurses, or healthcare providers, are required to file Sentara laboratory services requisition.

How to fill out sentara laboratory services requisition?

Sentara laboratory services requisition can be filled out by providing patient information, requested tests or services, and any relevant medical history.

What is the purpose of sentara laboratory services requisition?

The purpose of Sentara laboratory services requisition is to ensure that the correct tests or services are performed on a patient and that results are accurately reported.

What information must be reported on sentara laboratory services requisition?

Sentara laboratory services requisition must include patient name, date of birth, requested tests or services, ordering physician information, and any relevant clinical notes.

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