Patient Requisition Form - Quicksilver Scientific 2025

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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.
An example of a requisition is any submission of a formal purchase request in a purchasing system that initiates the purchasing process. An example of a requisition is a purchase request for 10 laptops. An approver will then have to decide if there is a need and a budget that allows for the purchase of 10 laptops.
The Quicksilver Mercury Tri-Test is the only clinical test that utilizes mercury speciation analysis, a patented advanced technology that separates methyl mercury (MeHg) from inorganic mercury (HgII) and measures each directly.
A requisition is a formal request for obtaining a product or service, typically initiated by a business. The requisition process typically requires standardized documents, known as requisition forms, to maintain an audit trail, although most are electronic forms.
CLIA-88, and thus the Joint Commission and the College of American Pathologists (accrediting agencies) require that each requisition form for laboratory services must clearly identify: Patient name, sex, birth date, include unique ID number, lab reference number. Collection date and time. Diagnosis Code.
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Requisition forms play a critical role in the flow of information from sites to labs, as the data that site staff document on the requisition is then used to demonstrate several key variables, including patient eligibility for a trial (based on factors like birth year and patient sex); sample stability (based on
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