FREE 8+ Test Requisition Forms in PDF

 

Proper health medication is given to individual patients according or basing on the doctors’ prescriptions. Treatment given by healthcare personnel varies on the level of how critical the condition of the patient is. These treatments are performed if, and only if there is a consent or approval of the requested tests.

Request for medical test is made formal upon submitting or using a requisition form. Whether you choose to create a custom requisition form, or use any of the ready made ones available on our website, it is important to learn the proper utilization of these.

Test Requisition Form Sample

Laboratory Test

Neurology Test

Cardiovascular Test

Clinical Test

What is a Test Requisition Form?

A test requisition form is used for requesting for medical or laboratory tests to be completed. This provides specific instructions on what are the requisitions of test/s that are needed to be performed. This form is given to the physician when they receive a specimen collection kit and when they return a specimen for analysis.

And once this is completed, this is then submitted to each patients. This form is used to indicate and to inform the patient of what are the tests that has to be undergone. So they will be aware if the tests are legal and based on what is requested. A test requisition is comparable to lab requisition and purchase requisition.

Instructions for Completing a Test Requisition Form

In completing the test requisition form, all required information in the form are needed to be provided by the patient. Here are the following inclusions of the form that needs to be filled in with significant information:

• Patient information, not only for positive patent identification, but also for billing purposes.
  • Full name, gender, mailing address, social security number, date of birth, phone number and other contact details
• Ordering physician or laboratory’s information (name, address, and contact details)
• Billing information includes the bill insurance information
• Specimen information including the date of collection, type, site and the order of specimens in serial testing
• Test selection indicates all the tests that were ordered and the reason/s stated at the test requisition form
• Signatures of the patient and date signed as a consent

Genedx Test

Clinical Urine Drug Screen Test

General Test Requisition

Medical Test

Acquisition vs. Requisition Test

An acquisition, from the word itself, is an asset or a property obtained or gained. It also means taking custody of whatever records . When you want to ask for, either your records or records of somebody else, you acquire for it. But acquisition of tests, records or results, are only given to the person or people who are authorized to claim it.

The person acquiring these records are not guaranteed unless they fill up a medical consent form from the owner of the results or records, because physicians or doctors are never allowed to release any medical information, since these are confidential.

A requisition is a request, demand or official order of a particular thing made by someone in a formal way. An example is when a physician requests for a test for the patient to undergo. The test requisition form also includes the amount to be paid, or patients can asked for patient requisition forms.

Payment requisition forms can also be used for this. Another example is when an organization needs to have a training to conduct at a specific location. The organization would fill up training requisition form in order for their request to be permitted by the head.