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Policy for Outside Lab Tests |
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Chapel Hill Pediatrics and Adolescents, PA POLICY FOR OUTSIDE LAB ORDERS Note: Labs ordered from another physician cannot be performed at Chapel Hill Pediatrics and Adolescents, PA without a written order from the ordering physician. If another physician requests labs for your child, please follow these guidelines: 1. Please note that your child must have had a physical within the past year at Chapel Hill Pediatrics and Adolescents, P.A. (CHPA).If your child has not had a physical within the past year, please schedule a physical with CHPA. After the physical exam appointment is scheduled, proceed to step #2. 2. Please fax a written, signed order from the ordering physician to CHPA lab (fax: 919-968-4219). This order must be received at CHPA before the lab can be scheduled. Please instruct the ordering physician to include: a. the specific lab needed b. the physician’s telephone number c. the physician’s fax number d. the physician’s address e. the patient’s diagnosis code f. specific instructions for the patient (e.g. if the patient should be fasting or not) g. how the physician would like to receive the lab results 3. Please have the ordering physician sign and fax (919-968-4219) the "Authorization for outside Labs Form" to CHPA. 4. After the above steps are completed, please call CHPA to schedule a lab appointment (942-4173 ext. 2). 5. The lab will obtain necessary waivers and/or consents from the patient/parent before performing lab work. 6. CHPA will perform the requested labs and send the results to the ordering physician. Results will also be sent to the primary care physician at CHPA. 7. Please contact the ordering physician to receive your child’s lab results and an explanation of the lab results. |
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Related Documents:
- Authorization for Outside Labs Form.doc
Outside lab policy

