Lab requisition 2026

1. Click ‘Get Form’ to open the lab requisition in the editor.
2. Begin by entering the SPECIMEN ID NUMBER at the top of the form. This is crucial for tracking your sample.
3. Fill in the PATIENT/ORDER section with the patient's LAST NAME, FIRST NAME, MIDDLE INITIAL, and DATE OF BIRTH (DOB). Ensure accuracy as this information is vital for identification.
4. Provide the SOCIAL SECURITY NUMBER or other identification in the designated field. This helps in verifying patient identity.
5. Indicate insurance details or select 'SELF PAY' if applicable. Attach a copy of the insurance card if necessary.
6. In the REQUESTING PHYSICIAN section, enter the physician's name and ensure they sign where indicated. This confirms that they have authorized the test.
7. Select any prescribed medications from the list provided. If there are none, check 'NO PRESCRIPTION MEDICATIONS'.
8. Add any additional comments or notes in the comments section to provide further context for laboratory staff.

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