Get Ntp Laboratory Request Form

Filling out the Ntp Laboratory Request Form online can streamline your laboratory request process. This guide will provide you with clear, step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to complete your Ntp Laboratory Request Form.

1. Click ‘Get Form’ button to obtain the form and open it in the digital editor.
2. Begin by entering the name of the collection unit in the designated field at the top of the form.
3. Next, input the date of the request to indicate when the request is being made.
4. Fill in the name of the requesting physician as it is crucial for identification purposes.
5. Provide the name of the patient, ensuring accurate spelling for proper identification.
6. Record the age and sex of the patient by filling in the age and selecting 'M' for Male or 'F' for Female.
7. Complete the full address of the patient, followed by their telephone or cellphone number.
8. In the history of treatment section, select the appropriate option to describe the patient's treatment history (e.g., New, Re-treatment).
9. Indicate the disease classification by selecting either 'Pulmonary' or 'Extra-pulmonary' and specify the site if necessary.
10. State the reason for the examination by choosing from options such as Diagnosis or Follow-up, and provide the TB case number if applicable.
11. Specify if this is a repeat collection and state the reasons in the provided field.
12. Select the type of specimen by checking 'Sputum' or specifying another type in the designated area.
13. Choose the tests requested from options provided, such as DSSM, Xpert MTB/RIF, and others as applicable.
14. Fill in the date of collection for the specimen being submitted.
15. Enter the name and designation of the specimen collector, along with a signature over the printed name.
16. The section below will be completed by a medical technologist or microscopist; ensure that it is filled out correctly during processing.
17. Finally, review all the entered information for accuracy, then save changes, download, print, or share the form as needed.

Now that you have the steps, get started on completing your Ntp Laboratory Request Form online today.