Laboratory Requisition Form

Laboratory Requisition Form Printing - Chain of Custody Forms

This lab requisition form is used for testing specimens related to Urine and Oral Fluids. It is an editable format that can be customized by healthcare professionals to request laboratory tests such as urine or blood testing. The preprinted sections that list test names and types make the process simple and efficient. It contains an integrated label used for SPECIMEN BOTTLE SEAL. This is a carbonless multi-part continuous form that works well with your dot matrix pin feed printer. This form can be written up manually by hand or used with a computer program.

USAGE

• Used to record and summarize laboratory testing
• Show the name of the sample tested and testing results
• Track all the points of contact of the sample collected from a patient, from the collection of the sample to analysis.

FEATURES

• 3-Part carbonless form
• Continuous form
• Consecutively numbered
• Consecutive Barcoded Integrated Label
• The editable format can be customized to meet your needs
• Printed or blank
• Checklist