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South Zone Laboratory Requisition - Alberta Health Services 2025

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The document is a South Zone Laboratory Requisition form used for requesting various laboratory tests for patients. It includes sections for patient and requestor information, test selection across multiple categories such as hematology, chemistry, immunology, and drug monitoring, as well as details regarding collection dates and priorities.

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What patient information must be included on a requisition form?

A general laboratory requisition form typically includes: Patient Information: Personal details such as name, date of birth, and contact information. Test Orders: Specific tests that need to be conducted, whether its blood tests or a more specialized blood chemistry analyzer.

Which of the patient details must be on the lab requisition form?

The laboratory test request must provide the following information: Ordering providers full name, address, phone number, and provider signature. Patients name and date of birth. Test(s) requested.

How long is a lab requisition good for?

The Functional Abilities Form (FAF) is a tool used by Alberta Health Services to assess an individuals functional abilities and limitations. It helps healthcare professionals determine the impact of a disability or injury on an individuals ability to perform daily activities and work-related tasks.

What patient information is required on every requisition for Alberta precisions lab?

The patients full name (full first name and last name) AND at least one of the following unique identifiers are required: ULI Unique Lifetime Identifier) Personal Health Number (PHN) Personal Identification Number (e.g. Federal, Military, RCMP, Refugee, Immigration, Passport, etc.)

What information should be on a lab request form?

In filling out the request form the following information must be included: The clients first name and last name and initials. The clients date of birth using the format DD/MM/YYYY. The clients sex. The name of requesting physician name/signature. Type of specimen and the date and time of collection.

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What information should be included on a requisition?

Requisition forms typically include line items such as the: Name of the person or company making the request. Date of the request, items requested, the delivery date. Delivery location and contact information.

South Zone Laboratory Requisition - Alberta Health Services 2025

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What patient information must be included on a requisition form?

Which of the patient details must be on the lab requisition form?

How long is a lab requisition good for?

What patient information is required on every requisition for Alberta precisions lab?

What information should be on a lab request form?

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What information should be included on a requisition?

how long is a lab requisition valid for in alberta

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