Get Immunogenetics Center Requisition - Hlauclaedu - Hla Ucla

Filling out the Immogenetics Center Requisition form online is a straightforward process designed to help you provide necessary patient and specimen information. This guide offers step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to fill out the requisition form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the patient information section. Fill in the Center #, name (last, first, middle), patient/donor ID #, sex, and physician’s information, including their name, ID number, and phone number. Additionally, include the patient's social security number and date of birth.
3. Proceed to the specimen information section. Indicate the type of specimen (serum or blood) and provide the collection date along with the time of collection. Mention the name of the individual who collected the specimen.
4. Check the box for urgent results if necessary and include details for where to call or fax results. Provide the complete address for sending results including street, city, state, and zip code.
5. Review the specimen collection directions carefully, ensuring compliance with guidelines such as separating serum within two hours of collection and proper handling of samples that may not be received within 24 hours.
6. Specify the tumor markers if applicable, using the categories provided on the form.
7. Lastly, confirm the send specimens information, ensuring that the address for UCLA Immunogenetics Center is correct, and finalize your entries.
8. Once all sections are completed, save changes to the form, and proceed to download, print, or share it as required.

Complete your forms online today for a seamless experience.