Florida Release regarding Laboratory Activities

State:
Multi-State
Control #:
US-0762-WG
Format:
Word; 
Rich Text
Instant download

Description

This form states that the participant is assuming responsibility for his voluntary participation in an activity. The release acts as an assurance to the person requesting the release that they will not be subjected to litigation resulting from the signing party's informed and consensual acts. If the particpant is under the age of 18, a parent or guardian's signature is required.

How to fill out Release Regarding Laboratory Activities?

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FAQ

Clinical laboratories may release test results to the physician or practitioner who ordered the test as well to as the patient. However, laboratories may not release test results to others without the written permission of the patient see D.C. Code Ann. 44-211 (2008) and N.H.

Waived testing is laboratory testing that employs specific test methods designated under the Clinical Laboratory Improvement Amendments (CLIA) of the Food and Drug Administration (FDA) as "waived." Waived testing is designated by CLIA as simple tests that carry a low risk for an incorrect result.

Clinical laboratory services provide needed information to assure correct clinical decisions that influence patient outcome and healthcare cost. Improved patient outcomes will ultimately lead to decreased medical treatment costs, decreased inpatient length of stay as well as reduced inpatient readmissions.

A Clinical Laboratory Improvement Amendment (CLIA) Certificate of Waiver is a certification that allows a facility, primarily laboratories, to legally examine a person through waived tests in order to assess health, diagnose, and determine treatment.

Correct patient information such as name, address, date of birth, social security number, as well as relevant clinical information will help to ensure that an accurate diagnostic evaluation is performed on all specimens submitted to the laboratory.

What is the general purpose of a laboratory test? Provide objective and quantitative information regarding the status of body conditions and functions/ to assist in the diagnosis of a pt.'s condition.

The laboratory request form (LRF) is a communication link between laboratories, requesting physicians and users of laboratory services. Inadequate information or errors arising from the process of filling out LRFs can significantly impact the quality of laboratory results and, ultimately, patient outcomes.

Requisition forms typically include the name of the person making the request, the date of the request, items requested, the delivery date, the delivery location, and the department responsible for fulfilling the request.

What is waived testing? By the CLIA law, waived tests are those tests that are determined by CDC or FDA to be so simple that there is little risk of error. Some testing methods for glucose and cholesterol are waived along with pregnancy tests, fecal occult blood tests, some urine tests, etc.

The laboratory test request must provide the following information:Ordering provider's full name, address, phone number, and provider signature.Patient's name and date of birth.Test(s) requested.Diagnosis and/or ICD-10 Codes.Date and time of order.

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Florida Release regarding Laboratory Activities