Get Test Requisition Form Testing Ordered (please Check) - PerkinElmer

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

ORDER FORM / REQUISITION A requisition form must accompany each sample submitted to the laboratory. This requisition form must contain the proper information in order to process the specimen. The essential elements of the requisition form are: Patient's surname, first name, and middle initial.

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.

DNA Quantity: Incoming genomic DNA samples should contain at least 5 µg of DNA per sample at a concentration of ≥ 100 ng/µL. PerkinElmer recommends the use of Picogreen fluorometry when determining the quantity of each sample. Samples must be provided in 50 µL – 100 µL of molecular biology grade water or TE buffer.

What is the Purpose of a Requisition Form? Requisition forms, sometimes called referral forms, are used by your doctor or local physician to communicate precisely what type of exam you require for a medical assessment.

A requisition initiates the request for a specific action and also records that action for subsequent reporting needs. For example, employees within a company would use a purchase requisition if they needed additional supplies.