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Laboratory Request Form - Department of Pathology - The

Laboratory Request Form - Department of Pathology - The 2025

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The document is a Laboratory Request Form from the South Texas Reference Laboratory, detailing the necessary information for submitting specimens for various pathological tests. It includes sections for patient details, clinical history, specimen types, and specific tests required, along with billing information. The form outlines procedures for immunohistochemistry, histochemistry, and other diagnostic methods.

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What information must be included on a laboratory request form?

Pathology requisition forms are used by physicians to test organ, tissue and bodily fluid samples for disease diagnosis. Other samples collected include blood, oral fluid, , cervical fluid, pleural fluid, pericardial fluid and ascetic fluid.

What is a laboratory 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.

What is a laboratory request form?

The laboratory request form (LRF) is a communication link between laboratories, requesting physicians and users of laboratory services.

What is a laboratory request?

The laboratory request form (LRF) is a communication link between laboratories, requesting physicians and users of laboratory services. Inadequate information or errors arising from the process of filling out LRFs can significantly impact the quality of laboratory results and, ultimately, patient outcomes.

What is a laboratory document?

A laboratory document is a written or digital file that outlines procedures, protocols, guidelines, or other information used in laboratory operations. Below are some examples of types of laboratory documents. Quality Manual. Standard Operating Procedures (SOPs) Work Instruction.

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.

Laboratory Request Form - Department of Pathology - The 2025

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