RESPECT CLINIC LAB TEST RESULTS bFORMb - app1 unmc 2026

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The document is a lab test results form from Baker Place, detailing various medical tests conducted on a patient. It includes sections for patient information, test results for pregnancy, glucose, bilirubin, ketones, and urine dipstick analysis. The results indicate normal and abnormal findings for each test, along with specific measurements and notes on the appearance of samples.

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Click ‘Get Form’ to open the RESPECT CLINIC LAB TEST RESULTS FORM in the editor.
Begin by entering the Patient Name in the designated field at the top of the form.
Fill in the Date and Medical Record # to ensure accurate identification.
Input the Date of Birth in the appropriate section, which is crucial for patient records.
Review each test section carefully. For tests like Pregnancy and Glucose, check either 'Normal' or 'Abnormal' as applicable.
For Urine Dipstick results, enter values for Specific Gravity, Blood, pH, and Protein as indicated on your lab results.
Complete any additional fields such as Kit Lot Number and Internal Control status if required.
Finally, ensure all information is accurate before saving or exporting your completed form.

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