Laboratory Requisition - Interior Health Authority 2025

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The document is a laboratory requisition form that outlines the necessary information and guidelines for ordering various medical tests. It includes sections for patient details, physician information, test selections across multiple categories (hematology, microbiology, chemistry, etc.), and specific instructions for specimen collection and patient preparation. Additionally, it provides contact information for several laboratories in British Columbia and emphasizes the importance of completing shaded fields to prevent delays in processing.

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2017	4.8 Satisfied (86 Votes)
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What information is needed at minimum on laboratory requisition forms?

laboratory requisitions must include doctor's name; patient's name, age, DOB, and ID number; tests to be performed; and date and time for specimen collection.

How do you read a lab requisition?

0:49 16:22 Introduction to Laboratory Requisition Forms - YouTube YouTube Start of suggested clip End of suggested clip Here's a scenario that illustrates a manual process where a healthcare provider performs theMoreHere's a scenario that illustrates a manual process where a healthcare provider performs the specimen collection in the office. And sends the specimens out to a lab for testing.

Why is a lab requisition important?

Every specimen entering your lab includes an often overlooked, but important piece of paper \u2013 the test requisition form. This form contains critical information about the patient, ordering physician, ordered tests, and insurance data.

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What should be included on a patient's laboratory requisition?

The laboratory test request must provide the following information: Ordering provider's full name, address, phone number, and provider signature. Patient's name and date of birth. Test(s) requested. Diagnosis and/or ICD-10 Codes. Date and time of order.

What is a laboratory requisition?

For laboratories, a lab requisition form is a written request for a medical test or procedure. It is written by a doctor or medical facility, and then fulfilled at the lab.

What are the 5 items that should be included on a lab requisition form?

Laboratory Test Requisition (Outreach) Specimen Information. Include Date and Time Collected and initials of the person who collected the specimen. ... Patient Information. ... Insurance Billing Information. ... ICD-10/Dx Code. ... Patient Authorization. ... Test Orders. ... Advance Beneficiary Notice (ABN)

What is a requisition form from a doctor?

Requisition forms, sometimes called referral forms, are used by your doctor or local physician to communicate precisely what type of exam you require for a medical assessment. These forms direct our technologists by outlining where diagnostic imaging is needed, such as your left shoulder or right ankle.

What is the purpose of the laboratory requisition form?

What is a lab requisition form? A lab requisition form is used by healthcare professionals to request laboratory tests such as urine or blood testing. They are also called test requisition forms. When blood, urine, or tissue is sent to a lab from a doctor's office a lab requisition form is required.

Laboratory Requisition - Interior Health Authority 2025

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How can I eSign my interior health mri requisition from Gmail?

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What information is needed at minimum on laboratory requisition forms?

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Why is a lab requisition important?

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What should be included on a patient's laboratory requisition?

What is a laboratory requisition?

What are the 5 items that should be included on a lab requisition form?

What is a requisition form from a doctor?

What is the purpose of the laboratory requisition form?

interior health lab requisition

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