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Get Coagulation Requisition Form 2020-2025
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How to fill out the Coagulation Requisition Form online
Filling out the Coagulation Requisition Form online can be a straightforward process if you follow the guidelines carefully. This guide will help you understand each component of the form and provide step-by-step instructions to ensure accurate submission.
Follow the steps to complete the Coagulation Requisition Form efficiently.
- Use the ‘Get Form’ button to obtain the Coagulation Requisition Form and open it in your preferred online platform.
- Fill in the lab number in the designated field to ensure proper tracking of your requisition.
- Specify the type of specimen by selecting the appropriate option, either fasting or non-fasting.
- Enter the date and time of specimen collection to maintain accurate records.
- Provide the patient’s name, age, and sex, choosing from male or female options.
- Fill in the telephone numbers for both the patient and the physician for easy communication.
- Detail the clinical history by indicating if there are any bleeding or thrombotic disorders and whether they are congenital or acquired.
- Indicate if there has been a history of blood transfusion or blood products, specifying when if applicable.
- Document prior laboratory investigations, mentioning the prothrombin time, APTT, and liver function tests if they were performed.
- Record any drug or medication history related to coagulation disorders, including current doses and dates of last changes.
- Indicate any history of major surgery conducted in the last year, specifying the type of surgery.
- Complete the probable diagnosis section to provide additional context for the requisition.
- Sign and fill in the name of the collection center where the sample was collected.
- Once completed, save your changes, and choose to download, print, or share the Coagulation Requisition Form as necessary.
Start filling out the Coagulation Requisition Form online today to ensure efficient processing of your laboratory tests.
Sources of coagulation include blood platelets, plasma proteins, and other substances that contribute to the clotting process. The primary source comes from the liver's production of clotting factors. Completing a Coagulation Requisition Form allows medical professionals to evaluate these sources and determine the best course for managing your coagulation health.
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