What is the purpose of a laboratory request?

What is the general purpose of a laboratory request? Assists in the diagnosis of pathologic conditions, to confirm a clinical diagnosis, to assist in the differential diagnosis of a patient's condition, to obtain info regarding a patient's condition, and provides the physician with essential data.

What is a laboratory request form?

Laboratory request forms provide information about the laboratory test being requested for. They carry demographic data and other information such as location of patient, laboratory number, doctor's name, signature of the doctor, telephone number of the requesting doctor.

What should be included in test request form?

Patient details (name, address, telephone number, birth date, gender, etc.) Requester details. Type of primary sample. Examination(s) requested.

What is laboratory test request form?

Laboratory request forms provide information about the laboratory test being requested for. They carry demographic data and other information such as location of patient, laboratory number, doctor's name, signature of the doctor, telephone number of the requesting doctor.

Get Lab Request Form

Lab Form 96 Revision 12/2009 Lab Test Request Form Virology (*) INDICATES REQUIRED INFORMATION. INCOMPLETE INFORMATION MAY CAUSE SPECIMEN REJECTION. Patient Information *Last Name *First Name *Date.

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