Get Laverty Pathology Results

The Laverty Pathology Results form is essential for requesting cervical screening tests. This guide provides a clear, step-by-step approach to filling out the form online, ensuring a smooth submission process.

Follow the steps to complete the Laverty Pathology Results form accurately.

1. Press the ‘Get Form’ button to access the Laverty Pathology Results form and open it in your preferred editor.
2. Begin by entering the patient last name and given names in the appropriate fields. Ensure that spelling is accurate as this information is critical for identification.
3. Select the patient's gender from the options provided: female, unknown, or other. This selection helps establish appropriate testing protocols.
4. Fill in the date of birth using the format MM/DD/YYYY. Make sure this aligns with official identification to prevent any discrepancies.
5. Provide home and mobile telephone numbers, ensuring they are current and accessible for communication regarding test results.
6. Enter the patient address, including postal code, which is necessary for correspondence related to the tests.
7. Specify the tests requested. You can choose multiple options, such as routine cervical screening tests or co-tests. If tests are not funded by Medicare, make a note of that.
8. Fill out the ‘Clinical notes’ section, detailing any additional relevant medical history or concerns that may affect testing.
9. Individuals must sign and date the consent section to acknowledge their agreement to the tests requested and the privacy terms outlined.
10. If applicable, complete the section regarding Medicare assignment. Indicate the approval for benefits transfer to the approved pathology practitioner.
11. Review all provided information for accuracy to ensure a successful processing of the pathology request.
12. Upon completion, save changes to the form. You can then choose to download, print, or share the form as needed for your records or submission.

Complete the Laverty Pathology Results form online today for efficient management of your cervical screening tests.