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Lab Requisition Form Template

This Lab Requisition Form Template is ideal for hospitals, diagnostic centers, and research institutions. It captures crucial data like medical history and test specifics, ensuring precise diagnostics and effective treatment. The template’s mobile-friendly design is perfect for on-the-go use in remote areas, facilitating quick data entry and timely patient care. Key features include customizable branding, Google Sheets integration, file uploads, automated notifications, streamlining lab processes, and enhancing patient outcomes.

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Features of Lab Requisition Form Template

Streamlining Lab Requests with this Requisition Form Template

Who can use this template?


Hospital Diagnostics

In a bustling hospital environment, managing a multitude of diagnostic requests can be challenging. The Form Template becomes invaluable, ensuring that each patient’s test requirements, previous medical history, and current medications are accurately captured. This comprehensive data ensures that the lab technicians are well-prepared, reducing the chances of errors and ensuring timely results. The streamlined process aids in faster diagnosis, timely interventions, and improved patient outcomes.

Specialized Diagnostic Centers

For centers specializing in specific diagnostics, such as radiology or pathology, the Requisition Form Template can be tailored to capture test-specific details. Whether it’s a particular imaging requirement or a specific biopsy method, the form ensures that every nuance is noted. This precision ensures that patients receive the right tests, enhancing the accuracy of results and aiding in effective treatment planning.

Research Institutions

In research settings, where specific tests might be conducted for studies or clinical trials, the Requisition Template can be customized to capture research-specific details. This might include the study’s name, the research phase, or any special instructions related to the sample collection. By ensuring clarity in requisitions, research institutions can maintain the integrity of their studies and ensure accurate data collection.

Mobile Diagnostic Units

For mobile labs or diagnostic units that operate on-the-go, especially in remote areas, the Template can be optimized for mobile devices. This ensures that healthcare workers in the field can quickly fill in patient details and required tests, even in areas with limited infrastructure. The streamlined process ensures that even in challenging environments, patients receive the necessary diagnostics without delay.


How SurveySparrow can help with lab requests


Branding with White Labeling

Personalize your lab request forms using white labeling to feature your institution’s logo and colors. This customization not only upholds professionalism but also helps users connect with your service, ensuring a consistent and branded experience.

Google Sheets Integration

Seamlessly integrate form responses with Google Sheets for organized data management. New lab test requests update in real-time on Google Sheets, facilitating effortless tracking and administration for lab managers.

File Upload Feature

Incorporate a file upload option in the form, allowing users to attach relevant documents or medical records with their test requests. This feature streamlines the process, ensuring comprehensive and accurate submissions and moving away from the need for hard copies.

Personalized Requests with Skip/Display Logic:

Use logics to tailor the form based on user responses, creating a customized request journey. For example, patients with or without insurance will encounter different follow-up questions relevant to their situation, ensuring precise and detailed data collection for each request.

Automated Notifications

Set up automated notifications to alert laboratory staff immediately upon submission of test requests. This feature ensures timely acknowledgment and processing of requisitions, reducing dependency on manual checks or management software.


Design your form for optimal functionality across all devices, including smartphones, tablets, and desktops. This multi-device support allows users to submit test requests easily from their preferred device, enhancing accessibility and user convenience.


FAQ’s on Lab Requisition Process


What information are there in lab requisition notes?

The laboratory requisitions should include the doctor’s name, patient’s name, age, date of birth, and identification number, tests to be undertaken, date and time for specimen collection.

What is done to a lab requisition?

At this point, the medical personnel will tell you whether or not additional studies are required and also provide you with the requisite test forms. After that, you will make a copy of the form that you will later submit in person in a testing facility near your location.

Why should a requisition form be important in the laboratory?

The LRF serves as the primary means of communication between the laboratories and clinicians. An incomplete form with insufficient details undermines the outcome of any experiment and consumes time of the cytopathology laboratory.

Why are requisition forms used?

Purchase requisition form is a request submitted by the member of employees, on behalf of the firm for purchasing goods and service. This may involve business procurement of inventories and raw materials for supply manufacture. The purchase process begins with submitting a purchase requisition form.

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