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The laboratory request form (LRF) is a communication link between laboratories, requesting physicians and users of laboratory services. Inadequate information or errors arising from the process of filling out LRFs can significantly impact the quality of laboratory results and, ultimately, patient outcomes.
Most test orders are valid for at least six months (unless your doctor has specified otherwise). If your lab testing order is more than six months old, please contact your doctor for a new form.
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.
All patient specimens must be accompanied by a fully completed, signed requisition form. For patient safety, each Laboratory Requisition is only valid for 6 months after the date that it was authorized.
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