Get Lab Requisition Form Alberta
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How to fill out the Lab Requisition Form Alberta online
Filling out the Lab Requisition Form Alberta online is a straightforward process that ensures all necessary information is collected for laboratory testing. This guide will walk you through each section of the form, providing clear instructions to help you complete it accurately.
Follow the steps to complete the form online with ease.
- Press the ‘Get Form’ button to access the Lab Requisition Form Alberta in your preferred online document editor.
- Begin by filling out the 'Requestor' section. Enter the patient's Personal Health Number (PHN), alternate identifier if applicable, last name, first name, middle initial, and date of birth in the specified format (yyyy-Mon-dd).
- Complete the 'Address' section with the patient’s address, including city/town, province, postal code, and phone number.
- Input the requestor’s name, location/facility address, and phone number in the designated fields.
- Fill in the 'Healthcare Provider ID' and the collection date using the required format.
- Select the priority of the request: Routine, Stat, Urgent, or Timed. Ensure to check only one option.
- Navigate to the 'Tests Ordered' section and choose the relevant tests by checking the appropriate boxes. Be sure to specify any additional details that may be required for the selected tests.
- If applicable, fill out the 'Miscellaneous' or 'History/Diagnosis/Antibiotics' sections for additional context regarding the patient's medical history or previous treatments.
- Review all your entries for accuracy, ensuring that all fields are complete and correctly filled.
- Once you have completed the form, save your changes, and download a copy for your records. You may also choose to print or share the form as needed.
Complete your Lab Requisition Form Alberta online today for efficient processing and accurate laboratory results.
Laboratory requisitions must include doctor's name; patient's name, age, date of birth, and identification number; tests to be performed; and date and time for specimen collection.
Fill Lab Requisition Form Alberta
General Laboratory Requisition. 21302(Rev2024-09). Requisition Date (dd-Mon-yyyy). Requisition Generator. Use the requisition generator to create a PDF with pre-populated healthcare provider information, including Connect Care identifiers. Downloadable and printable AHS Laboratory Services forms. Instructions on completing the demographics portion of a requisition. The tool below provides the ability to generate a PDF version of the most common APL lab requisitions with your Connect Care Identifiers. Please mark ALL tests to be done. Patient Information, Referring Physician, and Ordering Laboratory are ALL REQUIRED for samples to be processed without delay. Instructions on how to complete the AHC11234 form are on the same Alberta Health webpage under the link to the form.
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