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The requisition form contains areas for the date and time the test was ordered, the priority of the test, whether the order is for recurring test that will be conducted several times during that states time, and any special instructions the physician wants to convey to the laboratory staff regarding the test(s). There is also a space to indicate whether the collection of the specimen was conducted in the office or in the laboratory. There is also spaces on the requisition form to request tests not listed on the form.The requisition form also has a location for the written indication or diagnosis along with the diagnosis code.

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