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LAB RESULTS REQUEST FORM

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The document is a Lab Results Request Form that allows clients to request copies of their lab results to be sent either to their home address or to their personal physician. It includes fields for client information, addresses, and signatures.

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2009	4.8 Satisfied (122 Votes)

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What information must be included on a laboratory request form?

If you have a LabCorp LinkTM login/password , you can submit your add-on test request electronically. You may also call your local laboratory and add-on the test request.

How do I send a lab request to LabCorp?

Requestors name. Contact info (cell phone number, email, etc.) Type of service theyre requesting. Detailed information about the problem they need to be solved.

What is a laboratory lab requisition form?

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.

How do I write a lab request form?

Develop a Request Form that at least includes room for at least the following information: Patient details (name, address, telephone number, birth date, gender, etc.) Requester details. Type of primary sample. Examination(s) requested. Clinical information relevant to the laboratory.

How do I make a 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. Diagnosis and/or ICD-10 Codes. Date and time of order.

Can I request blood test results?

You can ask for your test results from your GP surgery. They may be able to give you a printed copy of your record or send you a digital version if you need it.

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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