PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form OL-9B
for the current year.
Form OL-9B Clinical Test Requisition - Connecticut
What Is Form OL-9B?
This is a legal form that was released by the Connecticut State Department of Public Health - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form OL-9B?A: Form OL-9B is a clinical test requisition form used in Connecticut.
Q: What is the purpose of Form OL-9B?A: Form OL-9B is used to request clinical tests in Connecticut.
Q: Who uses Form OL-9B?A: Healthcare providers and facilities in Connecticut use Form OL-9B.
Q: Are there any fees for submitting Form OL-9B?A: There may be fees associated with clinical tests requested on Form OL-9B. Contact your healthcare provider for more information.
Q: Can individuals use Form OL-9B?A: No, Form OL-9B is specifically for use by healthcare providers and facilities.
Q: What types of tests can be requested on Form OL-9B?A: Form OL-9B can be used to request a wide range of clinical tests, including blood tests, urine tests, imaging tests, and more.
Q: Is Form OL-9B only used in Connecticut?A: Yes, Form OL-9B is specifically used in the state of Connecticut.
Q: Is Form OL-9B required for all clinical tests in Connecticut?A: Yes, Form OL-9B is the standard form used for requesting clinical tests in Connecticut.
Q: How should Form OL-9B be completed?A: Form OL-9B should be completed by providing the necessary patient and healthcare provider information, as well as the specific tests being requested.
Form Details:
- Released on April 9, 2015;
- The latest edition provided by the Connecticut State Department of Public Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form OL-9B by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Public Health.
