59 MDW Form 120 Standard Lab Request

59 MDW Form 120 Standard Lab Request

What Is 59 MDW Form 120?

This is a legal form that was released by the U.S. Air Force - 59th Medical Wing on June 8, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of the MDW Form 120?
A: The MDW Form 120 is used to request standard lab services.

Q: Who uses the MDW Form 120?
A: Anyone who needs to request lab services can use MDW Form 120.

Q: What information is required on the MDW Form 120?
A: The form requires information such as patient details, requested lab tests, and the healthcare provider's contact information.

Q: Can I submit the MDW Form 120 electronically?
A: The availability of electronic submission may vary depending on the lab facility. It's best to check with the specific lab facility for their submission options.

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Form Details:

  • Released on June 8, 2017;
  • The latest available edition released by the U.S. Air Force - 59th Medical Wing;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of 59 MDW Form 120 by clicking the link below or browse more documents and templates provided by the U.S. Air Force - 59th Medical Wing.

Download 59 MDW Form 120 Standard Lab Request

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  • 59 MDW Form 120 Standard Lab Request, Page 1
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