Get Approval Request For Sendout Testing - Columbia University - Pathology Columbia

Filling out the Approval Request For Sendout Testing form requires careful attention to detail to ensure that all necessary information is provided accurately. This guide will walk you through the process step-by-step, making it simple to complete the form online.

Follow the steps to successfully complete the approval request form.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the requesting physician's information. Clearly write the name and contact number. This section establishes the primary point of contact for the request.
3. Next, input the test information. Specify the assay name and, if applicable, the suggested laboratory and test code. Providing this information ensures that the right tests are requested and processed.
4. Proceed to the patient information section. Fill in the patient's name, medical record number (MRN), and location. This information is crucial for tracking and linking the test to the correct patient.
5. In the pertinent clinical history section, provide necessary details that justify the request for testing. This should highlight any relevant medical conditions and reasons for the test.
6. Explain the clinical utility of the test and specify the suggested laboratory in this section. Clear explanations help support the rationale behind the testing.
7. Enter the name and signature of the requesting attending physician. Ensure this section is completed accurately, along with the date, as it authenticates the request.
8. Indicate whether the test is NYS approved by selecting 'Yes' or 'No' and confirm if the appropriate paperwork is attached, marking 'Yes', 'No', or 'N/A' as applicable.
9. Finally, submit the completed form by faxing it to 646-426-0065. If there are any questions, contact the Core Laboratory Resident at pager 8-7055.

Complete your documents online today to ensure a smooth and efficient submission process.