Due to Medicare and Insurance
dictates today, regarding the number of blood tests physicians can routinely
order, physicians are allowed to order, between 16-25 of the blood tests, Dr.
Smith orders which is the actual list of blood tests physicians use to order,
before these limitations.
Occasionally, however, when you
present the complete list of blood tests, your physician may be able to order
all of them, or perhaps, at least, more than their routine number of tests. We say occasionally because more often they
order only what they are allowed to order, even if you do give them the
complete list of blood tests. Since this
is not something that can be determined before hand, providing this Blood
Chemistry List, anyway, is a prudent step.
Only upon receipt of the Laboratory Report do we know what was ordered
and what was not.
Therefore, to request that this
complete list of blood chemistry tests be drawn through your physician requires
two documents. They are:
Blood Chemistry List - The first PDF Icon Document below (top, right) is a
list of all the blood chemistry tests Dr. Smith orders for a Clinical
Nutrition Comprehensive Blood Chemistry Analysis.
Physician Letter -
The second PDF Icon Document below (bottom, right) is a letter from Dr.
Smith to request that your physician order this list of blood tests for
When To Use These Two Documents
Requested or Approved – If the
timing for having your blood drawn through Dr. Smith corresponds with the time
you are having your blood drawn through your physician AND the priority blood
tests that Dr. Smith needs to analyze are tests that your physician is allowed
to order, Dr. Smith may approve your having blood drawn through your physician,
instead of her Lab. Then providing the
complete list of blood chemistry tests, if possible, the physician may surprise
us by ordering more, if not all of the blood tests listed.
Therefore, please keep Dr. Smith
informed of when blood chemistry testing is scheduled with your physician.
When a medical appointment is up-coming,
call our office and schedule an appointment to talk with Dr. Smith.
If the content of this consultation is simply to determine
if the blood tests through your physician may be used for your upcoming
clinical nutrition analysis, too, there will be no charge for this
However, if the appointment also results in receiving
professional advice or instructions, you will be charged for only that part of
the entire consultation time.
As stated above if your priority
blood testing with Dr. Smith are those that the physician will definitely
order, Dr. Smith will approve having your blood drawn through your physician
instead of her Lab.
Then once approved, you may follow
the instructions below regarding "How To Use These Two Documents" to
have blood drawn through your physician, and if your physician orders more, or
all, the blood tests listed, so much the better.
When you have provided a copy of the
blood tests through your physician, Dr. Smith will provide a Clinical Nutrition Analysis of their
Laboratory Report and update your Therapeutic Supplement Program of Care (POC)
The Analysis fee is calculated
according to the number of blood tests analyzed up to 44 blood tests. If 44 or more blood tests are analyzed, our
standard blood chemistry analysis fee is charged, less the amount we pay to our
Lab for drawing blood, since our Lab was not used for this Laboratory Report.
Proactively - Whenever you have an appointment with your physician, for
example, for an annual medical check-up, that is scheduled in between the dates
of your clinical nutrition analysis of your blood tests, it is to your advantage
to take both documents to your physician and request that all the blood tests
on Dr. Smith’s Blood Chemistry List
be ordered. Then providing a copy of the
Laboratory Report through your
physician will allow Dr. Smith to review your blood chemistry progress in the
interim time between the dates that blood chemistry is actually required for
clinical nutrition analysis.
How To Use These Two Documents
After printing two copies of each PDF Icon Document for
the Blood Chemistry List and Physician Letter. One is for your records and the other
for your physician.
Fill in the blanks on both of the Physician Letter.
Date Initiated: Date you completed this form.
Fax Lab Reports by: Date you need to have the Laboratory Report so you have time to send a copy to Dr. Smith for clinical nutrition analysis. You will, however, pick up the report rather than have it faxed.
Patient's Name: Your Name
Dear Dr. Name of Physician ordering blood tests.
Staple the Physician
Letter on top of the Blood
Open the "Fasting Instructions" web
page, which preceded this web page, and follow these instructions to fast for
date to have blood drawn.
Give the Physician Letter to your physician's Nurse or
the Physician's Assistant (P.A.) before blood is drawn, so they will know
how much blood to collect. State that you will be picking up a copy of the Lab Report, rather than having it faxed. However the fax date is the date by which you need the report for Dr. Smith.
Find out the date the Laboratory Report will be ready
and then go to the physician's office and pick up your copy of the
Then fax, email or U.S. Mail a copy of the Blood
Chemistry Laboratory Report to Dr. Smith.
Review of Laboratory Reports
There is no charge for Dr.
Smith’s Review of Blood Chemistry Laboratory Reports provided in between
the scheduling of blood chemistry testing for clinical nutrition analysis.
However, if from this review, due
to the values on the interim blood tests, necessitates a clinical nutrition
analysis, Dr. Smith will charge for the analysis. Generally, this also results in a subsequent
change in your Therapeutic Supplement Program of Care.
In most of these cases, the next scheduled blood
chemistry testing for clinical nutrition analysis will be canceled and a new
date will be determined from the analysis of the blood tests from your
physician. However, again, this
dependent on the values of the blood tests and when they require updating for
If you have any questions or need clarification
regarding these instructions, please call our office and request an
Administrative Consultation (no charge) with Dr. Smith.
Information provided in this website is for nutritional educational purposes only and not for the diagnosis, or treatment of any medical condition, disorder or disease.
Copyright 2004 Dr. Donna F. Smith -- Last Website Update: OCT 31, 2017 11:45 AM CST