Get Laboratory Request Form - Ministry Of Health - Mkak Moh Gov

Filling out the laboratory request form online is an essential step in ensuring that laboratory tests are conducted efficiently and accurately. This guide will provide clear instructions on how to complete each section of the form, making the process straightforward for all users.

Follow the steps to fill out the form correctly and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the requestor information. Fill in your full name, position, address, district, telephone number, and email in the specified fields.
3. Provide the laboratory number in the designated section for lab use.
4. In the 'A. Patient's Information' section, fill in the patient's name, age, identification number (IC No), sex, reference number, marital status, address, and nationality. Specify the postcode and district as well.
5. Enter the patient's date of birth and state, along with their occupation and contact telephone number.
6. Move to 'B. Clinical Summary' to provide any relevant clinical details regarding the patient.
7. In 'C. Purpose of Sampling,' indicate any symptoms, outbreaks, or specific usage pertaining to the sampling such as diagnostic or surveillance.
8. Detail the specimen category based on the type of case, such as programme/projects, case, contact, or others.
9. If applicable, fill out 'D. For Vaccine Preventable Disease' with immunization status and any pertinent dates, including clinical or provisional diagnosis.
10. In 'E. Specimen Information,' specify the type of specimen, date received, and date and time of collection.
11. Proceed to 'F. Type of Tests' and select any relevant tests needed, such as bacterial identification, viral identification, or serology. Provide additional specifications if necessary.
12. Finally, in 'G. Results' section, leave space for results verification and date, which is for laboratory use only.
13. Please remember to send the request form in duplicate for processing.

Complete your laboratory request form online to streamline your testing process.