The Order Quest Diagnostics form is a comprehensive document designed for healthcare professionals to submit requests for various laboratory tests provided by Quest Diagnostics. It includes detailed sections for patient information, the ordering physician's details, insurance coverage, and the specific tests requested along with sample types. This form ensures that all necessary data are captured accurately to proceed with the diagnostic services. To ease the process of requesting diagnostic tests, fill out the form by clicking the button below.
Efficiency and accuracy in patient diagnosis and treatment are of paramount importance in the medical field. The Order Quest Diagnostics form stands as a valuable instrument in this process, facilitating a streamlined method for healthcare professionals to request a variety of diagnostic tests. Located at 10 Upper Wimpole Street, London, W1G 6LL, Quest Diagnostics requires specific information for processing any request, including but not limited to the patient's surname, the ordering physician's details, patient demographics like date of birth and sex, as well as details concerning the test(s) ordered such as fasting status and whether the patient is pregnant. A unique account code, provided by Quest Diagnostics, ensures the form is correctly associated with the medical practice or physician making the request. Additional details such as insurance information and preference for receiving the report (telephone, facsimile, or patient delivery) are also integral parts of this form. The comprehensive options for clinical details and tests available, ranging from biochemistry profiles to immunology and hepatitis B immunity checks, highlight the form's versatility in serving diverse diagnostic needs. This meticulous approach aids in ensuring that all relevant details are captured at the outset, thus smoothing the path for prompt and precise diagnostic service delivery.
Surname:
Quest Diagnostics
10 Upper Wimpole Street
London, W1G 6LL
Account Code:
provided by Quest Diagnostics
Ordering Physician:
Forenames:
Date of Birth:
Sex:
day
month
year
Male
Female
Ethnic Origin:
Office / Patient number:
Fasting:
Pregnant:
Additional Physician:
Send duplicate report copy to:
Physician's Address: Required if no account code indicated
Address Line # 1
Patient's title:
Mr / Mrs / Dr / Prof / etc
Date collected:
day month year
Time collected: (24 hour clock)
hour minute
Fees to be paid by:
Doctor
Patient
Insurance Company
Other
details below
INSURANCE REFERENCE
Address Line # 2
Address Line # 3
Address Line # 4
Reports by:
Telephone: code number
Facsimile: code number
Patient Address: only required if patient is receiving invoice
Clinical Details:
Short Biochemistry
(QDL1)
Comprehensive Profile
(QDL5)
Lipid Profile
(QDL9)
SST
SST, Lavender, ESR
Full Biochemistry
(QDL2)
Haematology Profile
(QDL6)
Hepatic Profile
(QDL10)
Lavender, ESR
plus Haematology
(QDL3)
Thyroid Profile 1
(QDL7)
Immunology Profile
(QDL11)
ESR, Lavender, SST
Thyroid Profile 2
(QDL8)
MSU Profile
(QDL12)
(QDL4)
Mid Stream Urine
FRM.UWS.2401.H07.3
FBC
(Lav)
Coagulation
(Light Blue)
PT & APTT
ertert
U & E
(SST)
Cardiac Enzyme
Autoantibodies
PSA
PSA, free PSA ratio
HIV screen
Hepatitis B surface Ag
Hepatitis B immunity
ThinPrep
(ThinPrep Vial)
Pap smear
(Slide)
Other Tests:
Sample Type:
Source:
Reason for Smear:
LMP (1st DAY):
LAST TEST:
Pregnant: Y / N
IUCD Fitted: Y / N
Post Natal: Y / N
Taking Hormones: Y / N
Office use only - do not write here
70002 RF02050/1
FOR LAB USE ONLY
RECEIPT OF SPECIMEN
OTHERS
EDTA
GREY
MSU
TIME IN (R)
TIME IN PHL
TIME OUT PHL
Getting your medical tests done through Quest Diagnostics can feel like navigating through a maze. Filling out an order form correctly ensures that your tests are processed efficiently and accurately. It's about making your visit smoother and your healthcare professional's job easier. Whether you're a patient or a doctor, following these steps will guide you in completing the Quest Diagnostics order form without any hassle.
By carefully going step-by-step, you ensure that your form is filled out correctly, which is vital for accurate and timely processing of your lab tests. Remember, these details help your healthcare provider get the information they need to support your health best. If you have any uncertainties, don't hesitate to ask your doctor or reach out to Quest Diagnostics directly for guidance.
This form is used to order various diagnostic tests from Quest Diagnostics, a leading laboratory services provider. It captures detailed information such as patient demographics, the ordering physician, the type of tests needed, billing information, and how results should be delivered. Its purpose is to ensure that the correct tests are performed and that the results are sent to the appropriate healthcare provider efficiently.
The ordering physician or a designated healthcare provider fills out the form. It's their responsibility to provide accurate and comprehensive information about the patient, the tests required, and billing details. In some instances, office staff may assist in completing the form but under the supervision of a healthcare provider.
Several types of tests can be ordered, including but not limited to:
This section specifies who will bear the costs of the ordered tests. It can be the Doctor, Patient, Insurance Company, or another specified entity. This information ensures that billing and payment are handled correctly.
When the insurance company is footing the bill, this section requires you to input the insurance reference number and the address of the insurance company. This ensures that the insurance company is accurately billed for the services provided.
Test results can be delivered in a handful of ways as indicated on the form:
If assistance is needed when completing the Order Quest Diagnostics form, it is advisable to contact Quest Diagnostics directly. They can provide guidance and answer any specific questions related to the form or the ordering of diagnostic tests.
When filling out the Order Quest Diagnostics form, it is crucial to ensure accuracy and completeness to avoid any delays or issues with the tests ordered. However, mistakes can sometimes occur, some of which are more common than others. Below are nine mistakes frequently made:
In addition to these common errors, it is important to remember:
The attention to detail can significantly impact the efficiency and accuracy of the diagnostic process, ultimately affecting patient care. Properly filled forms also help in maintaining a smooth operation within Quest Diagnostics and ensure timely reporting of test results to the concerned parties.
When submitting an Order Quest Diagnostics form, it is not uncommon to include additional documents to ensure a comprehensive understanding of the patient's health profile and streamline the diagnostic process. Here are four other forms and documents often used together with the Order Quest Diagnostics form, each serving a unique yet complementary purpose.
Incorporating these documents with the Order Quest Diagnostics form ensures a smoother operational flow, from processing the test request to conducting the tests and interpreting the results. Collectively, they provide a holistic view of the patient's health status, ensuring that both the healthcare providers and the diagnostic professionals have the necessary information to proceed with the appropriate care and treatments.
Prescription Form: Similar to the Order Quest Diagnostics form, a prescription form also collects essential patient information such as name, date of birth, and specific requests from the physician—like the type of medication needed. Both documents serve as instructions from healthcare professionals to other entities, ensuring that patients receive the appropriate care or service.
Medical Test Requisition Form: This form is very similar because it's used by healthcare professionals to request certain lab tests. It includes specific details about the patient—like Quest Diagnostics form does—such as name, age, and tests requested. Both forms are integral in the process of diagnosing and monitoring conditions through laboratory testing.
Referral Form: When a healthcare provider refers a patient to a specialist or another clinic, they use a referral form. Like the form by Quest Diagnostics, it contains patient information, the referring physician's details, and the reason for referral. The purpose of both documents is to ensure continuity of care between different health care providers.
Health Insurance Claim Form: This form is used by or on behalf of patients to claim reimbursement from their health insurance for the services obtained. It resembles the Quest Diagnostics form in capturing patient details, insurance information, and specifics about the medical services provided or requested, facilitating the financial transactions involved in healthcare.
Patient Registration Form: Often used when a patient first visits a medical practice, this form collects comprehensive personal and medical history information. Like the Order Quest Diagnostics form, it includes patient demographics, contact information, and insurance details, though its scope is broader, serving as an initial record in the patient's medical file.
When filling out the Order Quest Diagnostics form, it's important to follow specific dos and don'ts to ensure the accuracy and efficiency of your submission. Keep these guidelines in mind:
Every field must be filled for every patient: Not all sections of the form need to be completed for every order. Mandatory fields are usually marked, and filling only the relevant sections based on the specific tests ordered and the billing requirements is essential. For instance, "Pregnant" is only applicable if relevant to the patient's current state and the tests ordered.
The form is only for use within the United Kingdom: While the provided address is in London, Quest Diagnostics operates globally. The form or its equivalent is used in various countries where Quest Diagnostics offers its services, but with localized details as necessary.
Insurance details are optional: If the insurance company is covering the cost of testing, providing insurance details is crucial. This section cannot be overlooked as it determines who will be billed and how the billing process will be managed.
Test results can only be sent to the ordering physician: The form allows for results to be sent to an additional physician. This flexibility ensures that all relevant parties involved in a patient's care can access the necessary information efficiently.
A patient’s email address can be used for receiving results: Currently, the form specifies reports by telephone or facsimile. Although Quest Diagnostics may offer electronic delivery, the form outlines traditional methods, reaffirming the need to specify how results should be dispatched correctly according to the form's current setup.
Ethnic origin details are mandatory for test processing: While providing ethnic origin can be valuable in some medical contexts, it is generally not a requirement for test processing. This information is more about ensuring comprehensive patient records and tailoring care as needed rather than being a mandatory test processing detail.
Office use and lab use sections can be filled out as needed: These sections are reserved for Quest Diagnostics staff only and should not be completed by the ordering physician or the patient. They are used internally for tracking and processing the specimen once received in the lab.
All tests require fasting: While certain tests might require fasting to ensure accuracy, not every test listed on the form requires it. This misconception could lead to unnecessary inconvenience for patients. Therefore, indicating whether a patient needs to fast is specific to the test and should be communicated clearly.
When you're filling out the Order Quest Diagnostics form, it's essential to pay attention to specific details to ensure that your test request is processed efficiently and accurately. Here's what you should keep in mind:
By carefully completing each section of the Order Quest Diagnostics form, you support a smooth process for both the laboratory and all individuals involved, ensuring that test results are accurate, timely, and appropriately reported. Remember, accurate and complete information is key to getting the reliable services you expect from Quest Diagnostics.
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