Get Test Requisition Form - Great Plains Laboratory

Completing the Test Requisition Form from Great Plains Laboratory online is essential for ensuring your specimen is processed correctly. This guide offers step-by-step instructions to assist users in accurately filling out the form with all necessary information.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. Begin by filling out the patient information section. Enter the patient’s first name, middle name, last name, sex, address, city, state, ZIP code, country, email, phone numbers, date of birth, age, and weight accurately to ensure proper identification.
3. In the type of specimen section, select the appropriate specimen type: urine, blood, serum, hair, or stool.
4. Complete the physician information section with the physician's name, institution, address, city, state, ZIP code, email, phone, fax, and NPI number as required.
5. In the method of payment section, choose the preferred payment method, filling out any required details such as credit card information if applicable.
6. If applicable, complete the collection date and time for the specimen, ensuring you select AM or PM for accuracy according to the provided types of tests.
7. If necessary, provide insurance information ensuring all fields are completed for the primary and secondary insurance.
8. Review all entered information for accuracy and completeness, paying special attention to red highlighted sections which are critical for processing.
9. Once finished, save your changes to the form. You can download, print, or share the completed form as needed.

Complete your documents online now to ensure a smooth processing experience.