Get Specimen And Slide Tracking Form - Fairview Diagnostic Laboratories

Filling out the Specimen And Slide Tracking Form accurately is essential for ensuring that specimens and slides are delivered and processed effectively. This guide provides step-by-step instructions to help users complete the form online with ease.

Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the patient’s last name, first name, and middle initial in the designated fields. This information is crucial for identification purposes.
3. Select the appropriate gender option by marking the checkbox for either Female or Male.
4. Input the patient's date of birth (DOB) in the specified format to maintain accurate records.
5. Fill in the ID number and physician's name to link the specimen to the responsible healthcare provider.
6. Complete the sender information, including the sending laboratory or physician's name, phone number, and address. This ensures proper tracking of the delivered samples.
7. Provide the name, date/time shipped, phone number, and fax number of the person who processed and shipped the samples, as this will assist in any follow-up inquiries.
8. Indicate the shipping company or courier used, along with the tracking or air bill number and the courier’s phone number for reference.
9. In the recipient section, specify the person or laboratory at UMMC, Fairview, or the University of Minnesota who will receive the sample or slide. Include their phone number and address/department.
10. Once all information is filled out, ensure to keep a copy of this completed form with the specimen while sending the original with the package.
11. Finally, review all entered information for accuracy. You can now save changes, download, print, or share the completed form as required.

Complete your documents online to ensure timely processing and tracking of specimens.