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Your Health. Your Lab.
The DGL requisition is designed to capture correct information as required by federal or private health care programs and to promote easy, accurate ordering of tests that are reasonable, necessary and supported by the patient record.
Use of DGL Test Requisitions1. Complete a separate test requisition form for each patient
2. Record the following:
4. Label each specimen with the patient's full name on the specimen container or tube
5. Indicate the type and number of specimens submitted at the bottom of the test requisition in the appropriate box(es)
6. Submit the top white copy with the specimen(s)
7. The bottom white copy may be retained for your records