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Test Request Forms


All laboratory test request must be ordered by an appropriate physician using an authorised Test Request Form or electronic requisition which must accompany an appropriately labelled specimen. 


For manual test requests, please ensure the correct form is used. It is important that all information requested in the form is accurately and completely filled in as this is essential for proper processing of samples and correct interpretation of test results.


To order tests that are not listed on the form, write the name of the test in the space marked "Others". Ensure that any necessary consultation with the appropriate laboratory staff is completed.

 

The following forms are used in KK Women's and Children's Hospital when requesting for various laboratory tests.

Request Forms Download
67010-Form-0070 Click Here
Allergy Lab Test Form Click Here
Bacteriology, Mycology, Parasitology Tests Click Here
Biochemical Genetics Lab Click Here
Clinical Chemistry - Form A Click Here
Clinical Chemistry - Form B Click Here
Gynaecological Cytology
Click Here
Haematology/Coagulation Click Here
Histopathology Lab Click Here
HSA-Form Click Here
Immunlogy Tests Click Here
Immuno-Chemistry Virology & Serology Click Here
Immunohaematology Click Here
Lab Cytogenetics Click Here
Molecular Histopathology Click Here
Non-Gynaecological Cytology Click Here
Platelet Immunology Test Request Form Click Here
Quantiferon Test Form Click Here
Therapeutic Drug Analysis Lab Click Here
Urine Tests Click Here
Virology & Serology Tests Click Here
Consent Forms Download
Chromosome Microarray Request and Consent Forms Click Here
ClinGen Request General Constitutional Consent forms Click Here
ClinGen Request Prenatal Constitutional Consent forms Click Here
Post-mortem Examination - An Explanation for Parents and Legal Guardians Booklet Click Here
Karyotyping / Fluorescence In Situ Hybridisation (FISH) for Constitutional Genetic Testing Click Here
Prenatal Chromosome Microarray Analysis Click Here
Others Download
Memo For Laboratory Request Click Here
Memo For Specimen Media Request Click Here

Patient Identification

Patient name, demographics and biodata provided are essential to ensure that the specimen collected and received by the laboratory comes from the correct patient.
  • Patient’s name 
  • Patient’s NRIC number / FIN
  • Account number 
  • Date of birth 
  • Gender 
  • Nationality    

Patient Location

The patient's location should be stated clearly so that the laboratory can communicate promptly with the relevant referring clinic/ward/department/hospital should the need arise.
  • Name of Clinic/Department 
  • Ward number 
  • Bed number 

Name of Requesting Doctor/Consultant

The identity of the requesting doctor/consultant must be provided in the event the laboratory needs to contact the relevant requestor for clarification and or for critical result reporting. The MCR number of the requesting doctor should be clearly written if a hard copy request form is used. 

Nature of Specimen

The specimen site, type of specimen and the source of specimen must be clearly written on the test request form. 

Date and Time of Specimen Collection

The specimen collection date and time must be indicated clearly on test request form for proper evaluation of test results.