13 апр. 2023 г. · The following is a list of elements required for all requisition forms. Patient's Full Name; Address; Date of Birth; Sex; Name of Submitting ... |
(a) The laboratory must have a written or electronic request for patient testing from an authorized person. (b) The laboratory may accept oral requests for ... |
Patient details (name, address, telephone number, birth date, gender, etc.) · Requester details · Type of primary sample · Examination(s) requested · Clinical ... |
Patient name, sex, birth date, include unique ID number, lab reference number · Collection date and time · Diagnosis Code · Type of specimen submitted, indicate ... |
The following requisitions are required in addition to the MOH Requisition: Public Health Lab General · Public Health Lab HIV Requisition · CEA Requisition Form ... |
1. Specimen Information · Include Date and Time Collected and initials of the person who collected the specimen. · COPY TO: Indicate full physician name (e.g.: Dr ... |
Laboratory request forms provide information about the laboratory test being requested for. They carry demographic data and other information such as ... |
2 февр. 2023 г. · Two forms of patient identification are required for patient registration. 5. S.S. # Enter the patient's social security account number. Two ... |
Complete the clinical information, transfusion history, transfusion/surgery location date and time. This information is required to ensure appropriate blood ... |
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