Get Semen Analysis Checklist

Completing the Semen Analysis Checklist is an essential step in ensuring accurate semen analysis results. This guide provides step-by-step instructions to help you navigate the process effectively and confidently.

Follow the steps to complete your Semen Analysis Checklist.

1. Click the ‘Get Form’ button to obtain the Semen Analysis Checklist and open it for editing.
2. Start by entering your personal details. Print your full name and date of birth in the designated fields on the form.
3. Indicate the number of days of abstinence prior to specimen collection, as this information is crucial for accurate analysis.
4. Include your partner's name if applicable. This section allows for better contextual understanding of the sample's background.
5. Document the date and time of the specimen collection in the appropriate fields on the form.
6. Confirm how the sample was collected by marking ‘Yes’ or ‘No’ for the collection by masturbation. If you select ‘No’, provide a brief explanation in the space provided.
7. Note any collection or transport problems in the space designated for that information. This detail can impact the analysis.
8. Complete the physician's order form (WakeMed Form #SP-017) and include the necessary billing information.
9. Review all entered information for accuracy and completeness before finalizing the checklist.
10. After all fields are accurately filled, save changes, and download or print the checklist for submission.
11. Share the completed checklist with your healthcare provider as instructed.

Complete your Semen Analysis Checklist online today to ensure a smooth testing process.