LABORATORY REQUESTS
All laboratory requests must be accompanied by a clearly and accurately completed form
capturing the following information:
- Complete patient identification information
- Sex
- Date of birth or age
- Patient address and phone number/ next of kin where applicable
- Name of physician or doctor
- Test(s) required
- Date and time of specimen collection
- Clinical data or diagnosis
- Source and nature of specimen where applicable
- All information provided on the request form shall be considered as confidential and treated as such.