Get Anchorage Lab Request Form V050815 - Dhss Alaska

Filling out the Anchorage Lab Request Form V050815 is essential for accurate sample analysis. This guide will walk you through each section of the form, ensuring that you complete it correctly and efficiently, even if you have little experience with similar documents.

Follow the steps to successfully complete the form online.

1. To begin, click the ‘Get Form’ button to obtain the Anchorage Lab Request Form V050815. This will allow you to access the form online and prepare for inputting your details.
2. Provide the submitter information by entering your name, contact details, and any necessary identification numbers. This information is crucial for the lab to process your request accurately.
3. Fill in patient information carefully. Preprinted labels are recommended. Ensure identifiers on the specimen match the Lab Request exactly, including the patient's first and last name or unique ID, and the date of birth or medical record number.
4. Record the collection date and time accurately, alongside the patient's race, sex, and gender. This section may also ask for information regarding the patient's date of death, if applicable.
5. Enter the facility name where the sample was collected, as well as the clinician's details, including any necessary identification numbers such as the physician UPIN.
6. Complete the 'Specimen Source' section by selecting the appropriate category based on the type of sample collected. Depending on your needs, you may include additional organisms or specify testing for different pathogens.
7. If applicable, include codes for diagnosis, such as ICD9 or ICD10 codes, as well as any special project code that may apply. Ensure all entries are accurate and relevant.
8. Inquire about chemistry testing if needed. Indicate the correct specimen source and any relevant information regarding the testing procedure or needs.
9. Review all the entered information to ensure accuracy and completeness. Once verified, you can proceed to save changes, download a copy, print the form, or share it as necessary.

Complete your Anchorage Lab Request Form V050815 online for a seamless submission process.