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  • Oncology Test Request Form

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HU MAN GE NE TICS LA BORATORY www. unmc.edu/geneticslab CAP Accredited CLIA 28DO454363 ONCOLOGY Test Request Form PATIENT INFORMATION CLINICAL INFORMATION Name p Diagnostic DOB Sex p Male p Female Address City State Zip Phone Med. Record or SSN DIAGNOSIS / INDICATION ICD9 Code s Bone Marrow Transplant p No p Yes p Same Sex p Opposite Sex BILLING INFORMATION Bill to p Hospital p Physician p Patient SPECIMEN INFORMATION p Insurance p Cancer Blood 3.

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USCG CG-3029 2016 Cg 4423 2006 Form 2006 USCG CG-5310B 2015 USCG CG-5588 2017

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Background information: The laboratory request form is a communication link between the clinicians and the laboratory staff. It contains demographic details of the patient including full names, age and gender; the test required; location of the patient; date and time of request among other details.

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.

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. Informed Consent - VistaSeq. Informed Consent - Genetic Testing – English. Informed Consent - Genetic Testing – Spanish.

Laboratory Corporation of America Holdings, more commonly known as Labcorp, is an American healthcare company headquartered in Burlington, North Carolina. It operates one of the largest clinical laboratory networks in the world, with a United States network of 36 primary laboratories.

To request printed test requisitions, please contact our client services department at 800-328-2666.

What is Labcorp's mission statement? Labcorp is a leading global life sciences company. With a mission to improve health and improve lives, Labcorp delivers world-class diagnostic solutions, brings innovative medicines to patients faster and uses technology to improve the delivery of care.

Oncology is the study of cancer. An oncologist is a doctor who treats cancer and provides medical care for a person diagnosed with cancer.

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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