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  • Labcorp Requisition Form

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1B 1C 1D PLEASE SUBMIT A SEPARATE REQUISITION FOR EACH PATIENT, INCLUDING T W I N S Name Male Last First Female Date of Birth / / 1A MI Home Phone Address Work Phone Social Security Number City State.

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A lab test requisition form is used by healthcare professionals to request laboratory tests such as urine or blood testing.

Can I come in and be tested or do I need to go back to my doctor for a new form? 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.

When visiting a patient service center, you should bring the following information with you: The Labcorp test request form from a health care professional requesting laboratory testing. A current insurance identification card (Medicare, private insurance or HMO/PPO)

Therefore, we kindly remind you that your pre-paid LabCorp requisitions may ONLY be presented at a LabCorp Patient Service Center, and your pre-paid Quest Diagnostics requisitions may ONLY be presented at a Quest Diagnostics Patient Service Center.

Labcorp requires that the medical practitioner ordering the test(s) sign the test requisition form (TRF) in the space provided to attest that the patient has given informed consent for the testing.

The test requisition combines patient registration information, billing information, specimen information, barcoded specimen labels and a provider order for confirmation of testing. The patient bill requisition should be completed by the provider or authorized staff and signed by the ordering provider.

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.

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