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Which of the following information should be included on a laboratory requisition form

Laboratory requisition form 2025

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The document is an outpatient laboratory requisition form that requires completion of specific fields by the ordering physician and patient to facilitate specimen collection and processing. It includes sections for patient information, tests requested, and guidelines for various medical tests, including hematology, chemistry, microbiology, and serology. The form emphasizes the importance of providing accurate details to avoid delays and outlines the legal protections regarding personal information collected.

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Send a laboratory requisition form should be included with the or sent with the patient to the laboratory via email, link, or fax. You can also download it, export it or print it out.

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Click ‘Get Form’ to open the laboratory requisition form in the editor.
Begin by filling out the 'Ordering Physician' section, including your address and MSP practitioner number. This information is crucial for processing.
In the 'Patient' section, enter the patient's surname, first name, PHN number, and date of birth. Ensure all highlighted fields are completed to avoid delays.
Indicate if this is a STAT order by providing a contact telephone number. Also, specify the patient's sex and whether they are pregnant or fasting.
Complete the 'Diagnosis' and 'Current Medications' sections accurately to assist in proper testing.
Select the appropriate tests from the various categories such as Hematology, Chemistry, Microbiology, etc., ensuring you follow any specific instructions provided.
Finally, sign and date the form at the bottom before submitting it for processing.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (233 Votes)
2011	4.5 Satisfied (40 Votes)

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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 the purpose of a laboratory requisition?

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. When blood, , or tissue is sent to a lab from a doctors office a lab requisition form is required.

What is the purpose of a requisition form?

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.

What is a general laboratory requisition?

General laboratory requisition forms are used by physicians when performing comprehensive medical tests as part of routine checkups, diagnoses and benchmarking new patients.

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.

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