Get Outpatient Laboratory Requisition - Physicians - Fraser Health

Filling out the Outpatient Laboratory Requisition is a straightforward process that facilitates patient testing and specimen collection. This guide provides clear, step-by-step instructions to help you accurately complete the form online, ensuring that all necessary information is submitted effectively.

Follow the steps to successfully complete the requisition form online.

1. Press the ‘Get Form’ button to access the requisition form and open it in your preferred editing tool.
2. Begin with the ordering physician address. Enter the appropriate physician's name and address to ensure correct billing and processing.
3. Fill in the patient’s personal information, including their surname, first name, date of birth, and sex. Make sure to complete all highlighted fields to prevent delays.
4. Input the patient’s health care number and any relevant insurance details (e.g., MSP, ICBC, WorkSafeBC). If applicable, indicate the locum physician.
5. Provide the patient's contact details, including telephone number and address, to facilitate communication.
6. In the diagnosis section, specify the reason for the lab order and include current medications along with the date and time of the last dose.
7. Select the appropriate tests needed by marking the respective checkboxes in hematology, chemistry, microbiology, and other relevant sections according to the patient's needs.
8. If necessary, include any special instructions or notes for the laboratory, such as indications for fasting or special patient requirements.
9. Sign and date the requisition at the bottom of the form, confirming the order.
10. Once all information is complete and verified, users can choose to save changes, download the form, print it, or share it as needed.

Complete your requisition online today to ensure timely testing and patient care.