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  • Labtech Diagnostics Test Requisition Form 2020

Get Labtech Diagnostics Test Requisition Form 2020-2025

Requisition 2. Fax or Email a copy of the completed requisition to Patients Choice Lab (with insurance copies if applicable) 3. Include a copy of this requisition and insurance copies if applicable with the specimen information facility information facing out Requesting Facility Patient Information Patient Last Name* First Name* Date Of Birth* Facility Name & Address* Patient s Phone Number* Sex* ( M F ) - Fax No.* Phone No.* Patient Address* ( City* State* ) - Zip Code* Re.

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A standing order requisition is valid until the expiry date indicated by the ordering doctor/healthcare practitioner up to a maximum of two (2) years. After the standing order expires, you will need to return to your doctor/healthcare provider for a new standing order requisition if repeated testing is still required.

The lab stores requisitions for six (6) months.

Blood samples are typically stable 14 days after specimen collection. To make sure your sample arrives in time to be tested, please register and return your sample to the lab promptly after specimen collection.

The treating (ordering) physician must clearly document, in the medical record, their intent that the test be performed, and documentation supporting medical necessity for the ordered test.

Labtech Diagnostics was acquired by Quest Diagnostics on Dec 14, 2021 .

Patient Service Centres o Upon patients presenting at a patient service center for a standing order laboratory collection, patients will be provided a copy of their standing order requisition & will be asked to maintain that copy until its expiration; maximum one year as per existing policy.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232