Get Qml Pathology Request Form

The Qml Pathology Request Form is an essential document for individuals seeking pathology tests. This guide provides comprehensive, step-by-step instructions to help users accurately complete the form online.

Follow the steps to successfully complete the Qml Pathology Request Form.

1. Click ‘Get Form’ button to access the Qml Pathology Request Form and open it in your preferred document editor.
2. Enter the patient's family name and given names in the designated fields to identify the individual requesting the tests.
3. Fill out the patient’s sex as well as their date of birth by selecting the appropriate options.
4. Complete the patient address fields, ensuring to include the street, city, state, and postcode accurately for correspondence.
5. Provide home and mobile telephone numbers to facilitate contact regarding test results.
6. Indicate the tests requested by checking the appropriate boxes next to each option, such as blood group and immune status tests.
7. Make sure to note that all requests must be pre-paid at the time of collection by credit card, and include the pre-paid receipt number as required.
8. Specify the method of receiving laboratory reports by selecting either delivery to the patient address or pickup from the collection center.
9. In the collector declaration section, ensure the collector completes their name, signature, and date, certifying the blood specimen's collection.
10. The patient must sign and date the form to confirm understanding of the information provided, including the disclaimer regarding self-requested tests.
11. Once all sections are filled out, review the document for accuracy. Save your changes, then download, print, or share the completed form as required.

Complete your documents online today to streamline your pathology request process!