Test/Diagnostic Name Alkaline Phosphatase (ALP) Type of Test__________________

Alkaline Phosphatase (ALP) Normal Range/Normal Findings:

           Adult______________________________________________________________________

           Child______________________________________________________________________

Critical Values:Low:____________________________High:________________________________

Body Systems and Functions affected by Alkaline Phosphatase(ALP):

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Test Results Time Frame for Alkaline Phosphatase (ALP):

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Test Description (why is this required?)__________________________________________________

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Consent Form Required?        Yes_____       No _____

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