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Laboratory Result Form Template

Create Quick and Accurate Lab Reports with Our Template

Handling laboratory results can be time-consuming and prone to errors. This laboratory result form template is designed for healthcare professionals looking to communicate and archive test results effectively. Easily streamline reporting for various tests, ensure compliance with industry standards, improve accuracy in documentation, and enhance communication with patients-all while saving time. Experience the simplicity of using our live template now.

Patient full name
Date of birth
Patient ID / MRN
Email
Phone
Gender
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
Accession / Order number
Ordering clinician full name
Ordering organization / facility
Specimen type
Blood
Serum
Plasma
Urine
Saliva
Stool
Swab
Tissue biopsy
Other
Please Specify:
Collection date
Fasting status at time of collection
Fasting
Non-fasting
Unknown
Not applicable
Test name
Result value
Units
Reference range
Result category
Additional results (test name, value, units, reference range)
Comments or recommendations
Overall interpretation summary
Authorized signer full name
Role / Title
Report date
Release results to patient is authorized
Yes
No
Signature date
I certify the information above is accurate and complete
Yes
No
{"name":"Patient full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Patient full name, Date of birth, Patient ID \/ MRN","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a laboratory result form template for FormCreatorAI article

When to use this form

Use this template when you need to capture and share test findings quickly and consistently across teams. It helps lab staff, clinicians, and care coordinators reduce calls, avoid rework, and make faster decisions. Common use cases include pre-op panels, employee health screenings, and chronic care monitoring. In urgent care or the ER, attach it to the Emergency room admission form to speed triage and link orders to results. After treatment, summarize key values alongside the Hospital discharge form so follow-up teams have the context they need. It also works for public health screening and student health, where standardized ranges and sign-offs keep records clean and auditable.

Must Ask Laboratory Result Questions

  1. Which test and methodology were performed?

    Naming the exact assay and platform avoids confusion between panels and ensures like-for-like trending over time. It also maps cleanly to workflows such as the TB Test results entry form for programs that track specific conditions.

  2. What is the specimen type and the collection date and time?

    Specimen type and the precise collection timestamp affect stability, reference ranges, and interpretive notes like fasting status. This detail prevents redraws and helps explain unexpected values.

  3. What are the result value, units, and reference range?

    Decision-making depends on the numeric value, correct units, and the normal range for age and sex. Including all three enables auto-high/low flags and clear provider guidance.

  4. Are any results flagged as abnormal or critical, and who was notified?

    Calling out abnormal or critical values and documenting who was alerted supports patient safety and regulatory audits. It creates a clear chain of communication and enables rapid escalation.

  5. Which patient and encounter does this result belong to?

    Full identifiers (name, DOB, MRN) and the encounter or order number prevent misfiled results and billing errors. For workplace or legal testing, align with the Urine drug screen form to maintain chain-of-custody continuity.

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