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Labcorp pathology requisition form

Download the ETR Requisition Form V1 - Department of Pathology 2025

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The document is a Research Histology and Bio-Repository Services Request Form from the UCI Department of Pathology, detailing the information required for requesting histology services and human tissue specimens. It includes sections for user information, compliance details regarding the use of human and animal tissues, service requests with associated costs, and authorization signatures. The form outlines various histology services available, including specimen processing, staining options, and immunostaining antibodies.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in the 'User Information' section. Ensure all fields are completed, including today's date, principal investigator's name, and contact details.
Proceed to the 'Compliance Information' section. Indicate whether your requested services involve human or vertebrate animal tissue and attach any necessary approval letters.
In the 'Pathology Core Services Requested' section, specify the histology services you require by entering quantities and costs as applicable.
Complete the required authorization signatures at the bottom of the form to certify that all information is accurate.
Review your entries for accuracy before saving or submitting your completed form through our platform.

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2017	4.8 Satisfied (126 Votes)
2017	4.5 Satisfied (43 Votes)

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What is a test requisition form?

A test requisition form is used by healthcare professionals to request laboratory tests such as or blood testing. Test requisition forms are often called lab forms. When blood, , or tissue is sent to a lab from a doctors office a test requisition form is required.

What is a requisition form used for?

Simply put, a requisition form is a document used to request goods or services from a supplier. A purchase order requisition form is a formal way for departments within an organization to communicate their needs to the procurement team in charge of purchasing these goods and services.

What is the purpose of a requisition from in a laboratory setting?

Background: A laboratory requisition form (LRF) is the main communication link between the laboratories and the clinicians. In a cytopathology laboratory, incomplete forms with inadequate information significantly impact the quality of the results and waste precious time of the lab.

What does a pathology request mean?

Pathology tests cover blood tests, and tests on , stools (faeces) and bodily tissues. A pathologist interprets the results of blood and pathology tests and looks for abnormalities that may point to disease, such as cancer and other chronic illnesses, or health risks, such as pre-diabetes.

What is a pathology requisition 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.

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