Litholink LLK0001 2017-2025 free printable template
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RETURN THIS FORM TO LITHOLINK WITH YOUR COMPLETED URINE SAMPLES For Litholink Use ONLY LLK0001 Rev. 10/2017 PATIENT INFORMATION Welcome to Litholink Litholink is a laboratory that specializes in 24-hour urine testing for kidney stone formers. TEST REQUEST FORM www. litholink. com Date of Birth Physician Last Name First Name Physician Information Patient Information Patient Last Name First Name Gender M/F Last 4 Digits of SSN MRN will display on report E-mail optional Physician Street Address...
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How to fill out litholink form
How to fill out Litholink LLK0001
01
Gather all necessary materials: a clean container for urine sample, instructions for filling out the form, and any required identification information.
02
Begin by filling out your personal information at the top of the form, including your name, date of birth, and contact details.
03
Indicate the specimen collection date in the designated section.
04
Specify the type of test you are requesting by referencing the appropriate section in the instructions.
05
Carefully follow the instructions for urine collection, ensuring you provide a midstream sample if required.
06
Record the time of collection and any other relevant details in the specified fields on the form.
07
Review the completed form for accuracy and completeness before submitting.
08
Place the filled-out form along with the urine sample in the provided shipping materials.
09
Send the package to the designated laboratory address as instructed.
Who needs Litholink LLK0001?
01
Individuals who are undergoing urinary health assessments or specific medical tests involving urinalysis.
02
Healthcare providers ordering tests for patients to diagnose or monitor kidney stones and related conditions.
03
Patients who have a history of kidney disease or other urinary tract issues requiring specialized analysis.
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People Also Ask about fees litholink file
How long does it take for Litholink results?
Do you notify me of the findings/results? No, but your physician should expect results two weeks from the time you send the kit back to us. your physician will notify you of the results.
What is Litholink kidney stone test?
A Litholink is an analysis of your child's urine. The daily levels of minerals, fluid content and/or other components are given in this report. The report gives the doctor information to help determine the cause of kidney stones.
How much does Litholink cost?
Litholink test cost is between $499.00 and $499.00 Click "Add to Cart" button there, and then close the tab.
How long do Litholink results take?
Upon completing and returning your At-Home Kit allow 7-10 days for your provider to receive your Litholink results.
What does a Litholink test show?
Testing is performed to determine why the patient is forming kidney stones. Results are reported to the physician on over thirty different measurements in order to assist the physician in determining the best prevention treatment for each patient.
What is Litholink for kidney stones?
A Litholink is an analysis of your child's urine. The daily levels of minerals, fluid content and/or other components are given in this report. The report gives the doctor information to help determine the cause of kidney stones.
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What is Litholink LLK0001?
Litholink LLK0001 is a form used for reporting certain medical and laboratory services related to urinary stone disease management.
Who is required to file Litholink LLK0001?
Healthcare providers, specifically those involved in the management of patients with urinary stone disease, are required to file Litholink LLK0001.
How to fill out Litholink LLK0001?
To fill out Litholink LLK0001, providers must complete relevant patient information, laboratory test results, and any other required documentation as specified in the form's instructions.
What is the purpose of Litholink LLK0001?
The purpose of Litholink LLK0001 is to standardize the reporting of laboratory tests and services associated with renal stone evaluation and treatment.
What information must be reported on Litholink LLK0001?
Information that must be reported on Litholink LLK0001 includes patient demographics, specific laboratory tests performed, results of these tests, and any pertinent clinical data related to urinary stone disease.
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