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Saskatoon Health Region COMMUNITY MOBILE PHLEBOTOMY REQUISITION To be used for Saskatoon and Area Residents Only Clinical Diagnosis: PHN #: Requesting Physician: Name: Date of Birth: Phone #: Address:.

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How to fill out the Phlebotomy Requisition online

The phlebotomy requisition is an important document used to request mobile blood collection services for individuals in the Saskatoon area. This guide provides clear, step-by-step instructions to help users fill out the form accurately and efficiently.

Follow the steps to complete the form successfully.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. In the ‘Clinical Diagnosis’ field, clearly enter the patient's medical diagnosis. This section is crucial for the lab's understanding of the request.
  3. Provide the patient’s health number (PHN) in the designated box. This identifies the patient in the health system.
  4. Fill in the requesting physician's name to ensure that the request is linked to a healthcare provider.
  5. Enter the patient’s full name, date of birth, phone number, and address. Accurate personal information will prevent any processing delays.
  6. Indicate where additional reports should be sent by filling in the 'Additional Copies of Report to' section, along with the frequency of reports, selecting one of the available options.
  7. Check the appropriate box that indicates why the patient requires mobile service, using the options provided in the section about qualifying for mobile service.
  8. Obtain the physician's signature. This is a required step for processing the request.
  9. Once all fields are completed, verify the information for accuracy and completeness to avoid delays.
  10. After ensuring the information is correct, save any changes, download the document, print it, or share it as needed. Be sure to fax the completed requisition to 655-4021.

Complete your phlebotomy requisition online today to ensure timely processing of your request.

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Requisition refers to physician's order/doctor's order/lab order. A physician order is an authorization for you to have lab testing performed. It's similar to a doctor providing a prescription for medication. This step is needed because some states require that a licensed medical doctor authorize laboratory tests.

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.

Of the three veins in the antecubital area acceptable for venipuncture, the median cubital vein (in the middle) is the vein of choice for four reasons: 1) it's more stationary; 2) puncturing it is less painful to the patient; 3) it's usually closer to the surface of the skin; and 4) it isn't nestled among nerves or ...

Patient's surname, first name, and middle initial. Patient's ID number. Patient's date of birth and sex. Requesting physician's complete name. Source of specimen. ... Date and time of collection. Initials of phlebotomist. Indicating the test(s) requested.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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