Get Parkway Laboratory Services Ltd

This guide provides step-by-step instructions on how to complete the Parkway Laboratory Services Ltd laboratory request form online. Designed for users of all experience levels, it ensures a smooth and efficient submission process.

Follow the steps to complete the form easily and accurately.

1. Press the ‘Get Form’ button to access the laboratory request form and open it in the applicable online editor.
2. In the section labeled *Doctor / Clinic, enter the name of the doctor or clinic requesting the tests.
3. Fill in the *Patient Name field with the full name of the patient.
4. Record the *Order Date to specify when the tests are being requested.
5. Sign the document in the space provided to confirm authorization.
6. If applicable, provide the clinic’s emergency contact number in the designated field.
7. Read and check the box to confirm consent to perform the tests and disclose personal data.
8. Choose urgency by selecting one of the following options: STAT, URGENT, or ROUTINE. Ensure to tick the appropriate box.
9. For urgent results, specify the contact number or fax number for communication.
10. Complete the *NRIC/Passport No. section with the relevant identification number.
11. Fill in the Clinic Ref. No. if available, followed by the patient’s *Gender and *Date of Birth.
12. Complete the *Nationality field with the patient’s nationality.
13. Provide the patient’s address in the specified section and enter the contact number for the patient’s emergency contact, if desired.
14. Tick the appropriate box regarding payment responsibility. Options include Patient to Pay, Bill Clinic, Bill AVIVA, and others.
15. If specific conditions apply, complete the HIV SCREENING section to confirm nationality and purpose, ticking relevant boxes.
16. Select the specimen type by checking the appropriate box and indicate the total quantity required.
17. Detail the tests required in the respective section along with any clinical notes if necessary.
18. Ensure that the phlebotomist notes any specific patient conditions, such as high fall risk or fasting.
19. Finally, review all entered information for accuracy, save any changes, and choose to download, print, or share the completed form as needed.

Start filling out the Parkway Laboratory Services Ltd form online today for a seamless experience.