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  • Stanford Medicine Diagnostic Lab Request Form

Get Stanford Medicine Diagnostic Lab Request Form

Ator (PI): Animal ID: Medical Record #: Department: Animal Name: Date Submitted: Responsible Person: Species: Collection Date: RP Phone: Breed/Strain: Collection Time: Account (PTA) Number: Age: Sex: Requested By: Protocol: Bldg: Room: Email Results To: Billed/Not Billed: Cage/Barcode: Summarize Pertinent Case Information (e.g., clinical history, clinical signs, treatments, experimental history, suspected diagnosis, differential diagnosis, sample key list): Bio Storage/Ban.

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Lab request Questions & Answers

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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.

Include Date and Time Collected and initials of the person who collected the specimen. COPY TO: Indicate full physician name (e.g.: Dr. Joe Smith) if an additional copy needs to be sent to another physician. Physician signature is REQUIRED in this section for Medicaid patients only.

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.

The management of patients often require laboratory investigations to be conducted as a means of confirming the patient's diagnosis and follow- up. Laboratory request forms serve as a major medium between the requesting or managing Doctor and the laboratory Scientists or Pathologists.

SLAC is a U.S. Department of Energy national laboratory operated by Stanford, conducting research in chemistry, materials and energy sciences, bioscience, fusion energy science, high-energy physics, cosmology and other fields.

For any questions with filling out forms, please contact the VSC Front Office at 650-723-3876.

Background: A laboratory requisition form (LRF) is the main communication link between the laboratories and the clinicians. In a cytopathology laboratory, incomplete forms with inadequate information significantly impact the quality of the results and waste precious time of the lab.

The test requisition combines patient registration information, billing information, specimen information, barcoded specimen labels and a provider order for confirmation of testing.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232