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Laboratory Requisition - Interior Health Authority 2026

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  1. Click ‘Get Form’ to open the Laboratory Requisition in the editor.
  2. Begin by filling out the 'Ordering Physician' section, including your address and MSP practitioner number. This information is crucial for processing.
  3. Next, complete the 'Patient' section. Enter the patient's surname, first name, date of birth (DOB), sex, and PHN number. Ensure all shaded fields are filled to avoid delays.
  4. Indicate if this is a STAT order by providing a contact telephone number. This helps prioritize urgent requests.
  5. Fill in the 'Diagnosis' and 'Current Medications' sections accurately to inform laboratory staff of any relevant medical history.
  6. Select the required tests from the various categories such as Hematology, Microbiology, and Chemistry. Make sure to check any special instructions related to fasting or specific conditions.
  7. Finally, sign and date the form at the bottom before submitting it to ensure it is valid for processing.

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interior health lab requisition

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Medicare Program; Clinical Laboratory Fee Schedule

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Safety

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