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Get Request For Laboratory Study Form - Depts Washington

LABORATORY USE ONLY Request for Laboratory Study ORAL & MAXILLOFACIAL PATHOLOGY SERVICE SCHOOL OF DENTISTRY? SUS- Box 357133? Seattle, WA 98195-7133? ph : 206-543-4440? fax: 206-543-8054? email:.

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How to fill out the Request For Laboratory Study Form - Depts Washington online

Completing the Request For Laboratory Study Form online can streamline the process of sending your biopsy specimen for analysis. This guide will provide you with step-by-step instructions to help ensure the form is filled out correctly and efficiently.

Follow the steps to complete your Request For Laboratory Study Form online.

  1. Click the ‘Get Form’ button to download the form and open it in a suitable editor.
  2. Begin by reviewing the instructions provided on the first page of the form, ensuring you are aware of the necessary attachments and details required for swift processing.
  3. Fill in the patient's information clearly, including their legal name, date of birth, and contact details. If applicable, include the name and details of a parent or guardian for minor patients.
  4. Provide relevant information about the performing doctor, including their name, address, NPI number, and contact details. Make sure to fill in all required fields.
  5. In the medical information section, describe the lesion by detailing its location, size, color, and associated symptoms. You may use the space provided or diagrams as needed.
  6. Answer questions regarding the patient's smoking and alcohol use, ensuring to mark 'Yes' or 'No' and provide details if applicable.
  7. Indicate the type of biopsy conducted by checking the corresponding box. If other, specify as prompted.
  8. Review all completed fields for accuracy. Make sure to write 'N/A' in any blank spaces to provide clarity.
  9. Lastly, staple any required attachments, such as copies of insurance cards, to the form. Ensure the form is properly folded and placed inside the box for transportation to the laboratory.
  10. Perform a final review of the document before saving your changes. You may download, print, or share the filled-out form as needed.

Start filling out your Request For Laboratory Study Form online today for a seamless submission process.

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Laboratory requisitions must include doctor's name; patient's name, age, date of birth, and identification number; tests to be performed; and date and time for specimen collection.

Laboratory request forms provide information about the laboratory test being requested for. They carry demographic data and other information such as location of patient, laboratory number, doctor's name, signature of the doctor, telephone number of the requesting doctor.

What is the general purpose of a laboratory request? Assists in the diagnosis of pathologic conditions, to confirm a clinical diagnosis, to assist in the differential diagnosis of a patient's condition, to obtain info regarding a patient's condition, and provides the physician with essential data.

What Patient details (name, address, telephone number, birth date, gender, etc.) Requester details. Type of primary sample. Examination(s) requested. Clinical information relevant to the laboratory. Date, time and place of sample collection. Date and time of receipt of the sample at the laboratory.

1:34 6:10 Filling out request forms - YouTube YouTube Start of suggested clip End of suggested clip This area is where you specify which investigations. You wish the enema rest perform. For a positiveMoreThis area is where you specify which investigations. You wish the enema rest perform. For a positive culture tick the identification.

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