Phlebotomy Lab Requisition Form

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Phlebotomy Lab Requisition Form. Web submit a test request form complete with the patient’s test and billing information and any other pertinent information. Patient's date of birth and.

Hepatic function/liver panel * (bilirubin, total; Web phlebotomists must also pass a background check, drug screen, physical, and have a valid driver’s license with a good driving record tridentcare laboratory services are available 24 hours per day, 7 days per week to enable optimal care. Send the labeled specimen tube with the crossmatch/transfusion form to the blood bank. Date and time of collection; This requisition form must contain the proper information in order to process the specimen. If you are one of our partner service, you cannot print out the forms found below to request labs for a patient. Web a requisition form must accompany each sample submitted to the laboratory. Match the patient's details with the laboratory form, to ensure accurate identification). Ask whether the patent has allergies, phobias or has ever fainted during previous injections or blood draws. Web the patient can walk into any of our locations with the form filled out and signed by a provider in order to have blood drawn and tested.

Date and time of collection; Web downloadable lab requisition forms to ensure quick lab results, we have downloadable requisition forms available: They are also called test requisition forms. Date and time of collection; This requisition form must contain the proper information in order to process the specimen. Doctors can also use the lab requisition form to communicate the type of examination (s. Red, gold, sst & green. If you are one of our partner service, you cannot print out the forms found below to request labs for a patient. The essential elements of the requisition form are: Patient's surname, first name, and middle initial. Legibly printed last name of phlebotomist;