Get Bloodworks Northwest Plt 01-01a 2019-2025

Filling out the Bloodworks Northwest PLT 01-01A form is a straightforward process that ensures accurate laboratory testing for platelet immunology. This guide will help you navigate each section of the form online, ensuring you provide all necessary information correctly.

Follow the steps to successfully complete the PLT 01-01A form.

1. Click ‘Get Form’ button to access the document and begin filling it out in an online format.
2. In the 'request for testing' section, ensure that you select the appropriate routine tests that are relevant to the patient's condition by checking the corresponding boxes next to the test options.
3. Fill out the drawing instructions by specifying the required blood draw tubes and quantities as indicated in the document, ensuring that you meet the sample requirements.
4. Complete the specimen information by providing the collection date, time, specimen accession number, and the name of the individual who drew the samples.
5. Include the ICD10 code for the patient and provide the details of the authorized person ordering the test, including their first and last names as well as any applicable credentials.
6. In the patient identification section, enter the patient's full name, date of birth, and sex (M/F), ensuring this information matches the sample labels.
7. Designate the recipient institution for the test results by filling in the institution's name, address, and fax number.
8. If necessary, provide any additional comments regarding the test, ensuring clarity and relevance.
9. After reviewing all the entered information for accuracy, save your changes, and proceed to download, print, or share the completed form as needed.

Complete your Bloodworks Northwest PLT 01-01A form online to ensure timely processing and accurate testing.