Get Ca Chla Chromosomal Microarray-oncology Requisition

This guide provides step-by-step instructions for users to effectively complete the CA CHLA Chromosomal Microarray-Oncology Requisition online. Ensuring accurate completion of this form is vital for processing samples efficiently.

Follow the steps to accurately complete the requisition form.

1. Press the ‘Get Form’ button to access the CA CHLA Chromosomal Microarray-Oncology Requisition and open it in your preferred form editor.
2. Fill in the patient information section accurately. Provide the account name, patient’s first name, last name, middle initial, date of birth (MM/DD/YYYY), and contact information. Select the appropriate ancestry and gender from the provided options.
3. In the clinical information section, specify the clinical diagnosis or indication for the test. Ensure to choose the Chromosomal Microarray-Oncology test option to proceed.
4. Complete the sample information section. Record the date of collection, time collected, contact phone number, and name of the individual who collected the sample. Additionally, document the sample ID number(s) for tracking.
5. Check the checklist of information required for testing. Ensure that you have included the test requisition form and the pathology report as stated.
6. Select the sample type from the options provided. Fill in details related to the sample type selected, such as source and percentage of tumor in the sample where applicable.
7. If needed, complete the internal use only section, including the date and time received by the laboratory, as well as the technician’s name.
8. Review all completed sections of the form for accuracy. Save changes made, and if finished, download, print, or share the completed requisition form as required.

Complete your documents online today to ensure timely processing of your samples.