Get University Of Texas Fungus Laboratory Requisition

This guide provides clear instructions on how to accurately complete the University of Texas Fungus Laboratory Requisition form online. By following these steps, users can ensure that all necessary information is provided for effective testing.

Follow the steps to complete your requisition efficiently.

1. Click ‘Get Form’ button to obtain the requisition form and open it for editing.
2. In the 'From' section, input the sender’s name, along with the 'FAX' and 'Date' fields, which help the laboratory identify the requisition source and its submission date.
3. Provide a valid 'Phone' number and 'Contact' name for any follow-up inquiries or clarifications related to this requisition.
4. In the 'Diagnosis' field, clearly specify the diagnosis associated with the patient's condition to guide testing scope.
5. Input the patient's information in the 'Patient' field, ensuring accuracy in the 'Pt. ID #' section, as this links the requisition to their medical records.
6. Select the 'TESTS REQUESTED' based on the specific tests needed. Indicate the organism type, ensuring to include necessary details such as 'Source' of the specimen.
7. For susceptibility testing, indicate the tests required by checking the corresponding boxes and entering the necessary culture and drug information.
8. If applicable, complete the 'Fungal Identification' section with the required specifics to assist in identifying the organism.
9. Complete the 'ANTIFUNGAL DRUG LEVELS' section, including the specimen requirements and specifying all antifungal agents the patient is taking at the time of collection.
10. Once all fields are filled out accurately, save the changes you have made. You may choose to download, print, or share the form as needed for submission.

Take action today and fill out your requisition online for efficient lab processing.