Which of the following information should be included on a laboratory requisition form: Fill out & sign online

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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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