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  • Specimen Will Not Be Tested If Label Or Requisition Is Missing Information

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Ttle may contain a preservative that may burn your skin. If liquid in bottle is splashed or spilled, wash spill immediately with water. Please follow the instructions below for accurate test results. Before or after urine collection Please have a blood specimen drawn within 72 hours of either the start or finish time of the urine collection. Please be prepared to provide your weight and height For example, have blood specimen drawn when you pick up or drop off the urine specimen. Appointment.

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In terms of a requisition, the final rule states: In the [MPFS 2010] proposed rule (74 FR 33642), we defined a ''requisition'' as the actual paperwork, such as a form, which is provided to a clinical diagnostic laboratory that identifies the test or tests to be performed for a patient

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.

1a : an individual, item, or part considered typical of a group, class, or whole. b : a portion or quantity of material for use in testing, examination, or study a urine specimen. 2a : something that obviously belongs to a particular category but is noticed by reason of an individual distinguishing characteristic.

The purpose of this policy is to ensure that accurate patient information such as proper identification, contact information, requested tests, clinical diagnosis, physician information, specimen type, and sample collection information is accurately conveyed from the submitting provider to the laboratory.

Rejected Specimen. --A specimen that is judged by the laboratory to be unsuitable for analysis or must be recollected (eg, specimen lost or not received, inadequately labeled or unlabeled, hemolyzed, clotted, of insufficient quantity, or of unacceptable variance with previous or expected results).

0:00 3:11 Suggested clip How To Fill Out An AS Requisition Form - YouTubeYouTubeStart of suggested clipEnd of suggested clip How To Fill Out An AS Requisition Form - YouTube

Samples that do not conform to the type of sample needed for the requested test(s) are unacceptable. For example: Do not process saliva in place of sputum. 24 hour urine samples are unacceptable for routine bacterial cultures.

Name, address, phone # of lab, physician's name and address, patients name, age and gender, patient accession #, date specimen is received, date results were reported, name of tests performed, results of tests, reference range for each test performed.

Patient Full Legal Name (First and Last) Patient Date of Birth (DOB) Date and Time of Collection. Initials of Person Collecting the Specimen. Social Security Number (if available)

Proper patient identification and accurate labeling of specimens helps with quality assurance. Whether you're a nurse, medical assistant, or phlebotomist, your first step when collecting any specimen will be to review the test description. Make sure you have the right patient getting the right test.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232