Get Laboratory Test Order Form

This guide provides step-by-step instructions for users on how to accurately complete the Laboratory Test Order Form online. Following these directions will ensure that all necessary information is provided for a smooth laboratory testing process.

Follow the steps to fill out the Laboratory Test Order Form correctly.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. Begin by entering today’s date at the top of the form. This is important for record-keeping.
3. In the 'Patient Instructions' section, provide any specific instructions for the patient. This could include preparation guidelines before testing.
4. Indicate the 'Date to be Drawn' by selecting a future date that is convenient for the patient.
5. For lab use, fill in the 'Verbal Order received by' section with the appropriate name and details, as well as the 'Date and Time' the order was received.
6. Select one of the specimen collection locations from the provided options, ensuring it is suitable for the patient’s needs.
7. Complete the 'Patient Legal Name' section with the last name, first name, and middle initial. Include the patient's date of birth.
8. Fill in the 'Ordering Provider' details, including their name, office phone, and fax information, to facilitate communication.
9. List the tests being ordered, along with the accompanying 'Reason for Testing (ICD-9)' for each test. Ensure all medical justifications are clear.
10. If applicable, provide any special instructions for the laboratory regarding the tests ordered.
11. Have the 'Physician/Authorized Signature' section signed and dated by the respective healthcare provider.
12. Once all sections are completed, save your changes, download, print, or share the form as needed.

Take the next step in your healthcare journey by completing your laboratory test order forms online today.