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Click ‘Get Form’ to open the HISTOCOMPATIBILITY TESTING REQUISITION in the editor.
Begin by filling out the Requester Information section. Enter today’s date, your name, phone number, and location. Ensure that you provide a valid email or fax number for sending results.
Complete the Patient Demographics section thoroughly. Include the patient's full name, date of birth, sex, race, and diagnosis/disease. Remember that federal regulations require this section to be fully completed.
Specify the Transplant Type by marking the appropriate option. If applicable, include details about the physician and recipient name if different from the person tested.
Fill in Testing Requirements by selecting HLA typing and any additional tests needed. Clearly indicate whether samples are routine or STAT.
Review all sections for completeness before submitting your form to ensure no delays in processing.

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