Get General Laboratory Requisition Form

This guide provides a comprehensive overview of how to complete the General Laboratory Requisition Form online. By following these steps, users can ensure that all necessary information is accurately filled out for laboratory testing.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the patient's name in the designated field, ensuring that it matches their legal name for accurate identification.
3. Enter the medical record number in the appropriate section. This number helps track the patient's medical history and lab results.
4. Fill out the provider's name, fax number, phone number, and address. Accurate contact information is essential for communication regarding test results.
5. Specify the culture source to provide context for the tests being requested, ensuring clarity in the laboratory analysis.
6. Indicate the standing order frequency, if applicable. This information helps the laboratory manage the testing schedule effectively.
7. Ensure to print the required address for HIV results. This is crucial for compliance with confidentiality regulations.
8. Input all relevant ICD-10 codes. These codes are necessary for insurance billing and should represent the conditions being evaluated.
9. Select the tests and checkboxes relevant to the patient’s needs from the provided list of laboratory tests. Be selective to ensure only necessary tests are ordered.
10. List any additional tests not mentioned in the main sections, including relevant ICD-10 codes for each.
11. After completing all required fields, review the information for accuracy and completeness.
12. Finally, save the completed form, and proceed to download, print, or share it as necessary.

Complete your laboratory requisition forms online with ease and accuracy.