Request Form

Synonym(s):
 

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 opens in a new tab
Allergy Lab Test Form
Click Hereopens in a new tab
Bacteriology, Mycology, Parasitology Tests Click Hereopens in a new tab
Biochemical Genetics Lab Click Hereopens in a new tab
Clinical Chemistry - Form A
Click Hereopens in a new tab
Gynaecological Cytology
Click Hereopens in a new tab
Haematology/Coagulation Click Hereopens in a new tab
​Haematology Bone Marrow Aspiration (BMA) Appointment Booking Form Click Hereopens in a new tab
Histopathology Lab
Click Hereopens in a new tab
HSA-Form Click Hereopens in a new tab
Immunohaematology
Click Hereopens in a new tab
Lab Cytogenetics Click Hereopens in a new tab
Molecular Pathology
Click Hereopens in a new tab
Non-Gynaecological Cytology Click Hereopens in a new tab
Platelet Immunology Test Request Form Click Hereopens in a new tab
Quantiferon Test Form Click Hereopens in a new tab
Consent Forms Download
Chromosome Microarray Request and Consent Forms Click Hereopens in a new tab
ClinGen Request General Constitutional Consent forms Click Hereopens in a new tab
ClinGen Request Prenatal Constitutional Consent forms Click Hereopens in a new tab
Post-mortem Examination - An Explanation for Parents and Legal Guardians Booklet Click Hereopens in a new tab
Karyotyping / Fluorescence In Situ Hybridisation (FISH) for Constitutional Genetic Testing Click Hereopens in a new tab
Prenatal Chromosome Microarray Analysis Click Hereopens in a new tab
Others Download
Memo For Laboratory Request Click Hereopens in a new tab
Memo For Specimen Media Request Click Hereopens in a new tab
​Memo Blood film despatch to SGH Haematology Laboratory 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.