Get Uab Mycoplasma Lab

Filling out the Uab Mycoplasma Laboratory request form online can streamline the testing process and ensure accurate submissions. This guide will walk you through each section of the form, providing detailed instructions to help you complete it efficiently.

Follow the steps to complete the Uab Mycoplasma Lab request form.

1. Click the ‘Get Form’ button to access the request form and open it in the designated form editor.
2. In the 'SHIP TO' section, verify the address for the Diagnostic Mycoplasma Laboratory is correct: University of Alabama at Birmingham, 1825 University Blvd, SHEL 476, Birmingham, AL 35294. Ensure that the contact details are accurate as well.
3. Fill out the 'FROM' section with your contact information. Provide your name, organization, and any additional relevant details to identify yourself as the sender.
4. Complete the 'PATIENT INFORMATION' section. Input the patient's name, medical record number, accession number, date, and time the specimen was collected, along with the type of specimen and the physician's name.
5. In the 'NUMBER AND PERSON TO REPORT CRITICAL RESULT' field, write the contact number and name of the person who should be notified of critical results. Ensure that the number to fax final results is also provided.
6. Proceed to the 'Billing Information' section. Enter the contact person's name and the fax number where the invoice should be sent to ensure proper billing.
7. Review the list of tests available. Check the appropriate boxes for the tests requested based on the descriptions provided. Be sure to note any specific CPT codes and prices associated with each test.
8. In the 'Shipment Information' section, input the date of shipment and the type of transport broth used for the specimen.
9. Once completed, review all entries for accuracy. After confirmation, save your changes. You may then download, print, or share the form as needed.

Complete your documents online today for efficient processing!