Lab requisition 2025

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The document is a laboratory requisition form for biochemical genetics and cystine testing at the University of California, San Diego. It includes sections for patient information, physician details, sample collection specifics, test selection, and clinical history required for interpretation. The form outlines various tests related to metabolic disorders, particularly focusing on cystinosis and associated assays.

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Click ‘Get Form’ to open the lab requisition in the editor.
Begin by entering the patient’s name in the designated field at the top of the form. Ensure accuracy for proper identification.
Fill in the date of birth and sex fields. This information is crucial for patient records and billing purposes.
Complete the physician information section, including requesting physician's name, state license number, and billing address. This ensures that results are sent to the correct location.
In the sample information section, indicate the collection date and time. Select only one specimen type per requisition as specified.
Mark your test or service selection clearly, circling the appropriate specimen type as indicated in the specimen key.
Provide any necessary clinical history in section four to assist with interpretation of results.

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What is a lab requisition?

What is a General Laboratory Requisition Form? General laboratory requisition forms are used by physicians when performing comprehensive medical tests as part of routine checkups, diagnoses and benchmarking new patients.

What is a general laboratory requisition?

Example of a Requisition A health insurance companys Learning and Development team needs new supplies for its training program. The team lead must request these supplies through the companys automated requisition system.

What is the purpose of a laboratory requisition?

A lab requisition form is used by healthcare professionals to request laboratory tests such as or blood testing. They are also called test requisition forms. When blood, , or tissue is sent to a lab from a doctors office a lab requisition form is required.

What is a requisition in medical terms?

For manual test ordering, a completely and correctly filled out laboratory requisition form is a legal requirement that must be satisfied for the request to qualify as a valid order.