Get Ucsd Biochemical Genetics Lab Requisition Form 2016-2025

The UCSD Biochemical Genetics Lab Requisition Form is an essential document for requesting biochemical genetics testing. This guide provides clear, step-by-step instructions to assist users in accurately completing the form online.

Follow the steps to effectively fill out the requisition form online.

1. Click the ‘Get Form’ button to access the form and have it opened in your document editor.
2. Enter the patient name in the designated field at the top of the form.
3. Provide the patient's date of birth, sex, and patient ID number in their respective sections.
4. Indicate whether the patient is an inpatient or outpatient by checking the appropriate box.
5. Complete the physician information section by providing the requesting physician's name, state license number, and UPIN number for billing purposes.
6. Fill in the results address and billing address. Ensure that the billing address section reflects where you would like invoices to be sent.
7. In the sample information section, specify the collection date and time, and select the specimen type according to the provided keys.
8. Mark the test or service you are requesting in the test/service selection section, circling the corresponding specimen type.
9. Provide clinical history that may assist in the interpretation of results in the dedicated section.
10. Review all entries for accuracy and completeness.
11. Once finished, you may save changes, download, print, or share the completed form as needed.

Take the time to complete your document online today for better efficiency.