Lab request form 2025

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The document is a Diagnostic Lab Request Form from Stanford University's Department of Comparative Medicine. It outlines the necessary information and sections required for submitting diagnostic tests for animals, including details about the investigator, animal identification, medical records, and various test options across chemistry, immunology, microbiology, pathology, and serology. The form emphasizes the importance of completing all required fields and provides contact information for further inquiries.

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Click ‘Get Form’ to open the lab request form in the editor.
Begin by filling out the investigator details, including the Principal Investigator (PI), department, and responsible person. Ensure all red outlined boxes are completed.
Next, provide information about the animal(s) involved. Fill in fields such as Animal ID(s), name, species, breed/strain, age, building, and cage/barcode.
Complete the contact information section with your phone number and account number/PTA #. Specify the sex and room of the animal.
In the medical record section, include protocol number, date submitted, samples submitted, collection date/time, collected by, and requested by. If you need results via email, provide your email address.
Indicate whether you want to be billed or not by circling the appropriate option. Finally, provide a clinical summary detailing history and suspected diagnosis.
Select any additional tests required from the comprehensive list provided in sections like Chemistry, Immunology, Microbiology, etc., ensuring all relevant checkboxes are marked.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the purpose of a lab request?

The laboratory request form provides the outside laboratory with information needed to test the specimen. The clinical diagnosis is indicated on a laboratory request to correlate laboratory data with the needs of the physician.

What is a requisition form for labs?

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 a sample request form?

A sample request form is a document used by your customers to order samples from your core. It is created and maintained by core administrators and can be configured to include any fields you require.

What is a lab request form?

The laboratory request form (LRF) is a communication link between laboratories, requesting physicians and users of laboratory services.