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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Patient Information' section. Ensure you print in black ink, providing details such as last name, first name, middle initial, address, birth date, sex, and social security number.
Next, complete the 'Insurance Billing Information' section. Attach a copy of the insurance card or print the necessary details clearly.
In the 'Specimen Information' section, indicate the collection date and time. Select the type of specimen collected from options like blood or body fluid and specify any additional details required.
Lastly, check off the tests required in the 'Indicate Tests Required' section. You can select multiple tests based on your needs.
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If further investigation is needed, the doctor might order blood or other lab tests, or medical imaging. To arrange these tests, your doctor will need to fill out paperwork requesting the specific exam and explaining why they are needed. This order is called a requisition.
What is a microbiology requisition?
A microbiology requisition form is sent to a reference lab with specimens for testing; a medical provider then analyzes the results to docHub a diagnosis.
What does a lab requisition mean?
The Microbiology Laboratory receives samples from patients to identify organisms that are responsible for infection including bacteria, fungi and parasites. The laboratory workflow is handled by medical technologists specialized in microbiology and is staffed 24 hours per day.
How to schedule lab work at Cleveland Clinic?
Please call and schedule your lab appointment by calling Cleveland Clinics Appointment Center at 216.444. 2538. Walk-ins are still accepted. Laboratory locations are closed on all major US Holidays: New Years Day, Memorial Day, Fourth of July, Labor Day, Thanksgiving, and Christmas Day.
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