Get the free CDC Specimen Submission Form

This form is used to submit specimens to the CDC for testing, primarily focused on public health concerns and infectious diseases.

How to fill out cdc specimen submission form

How to fill out CDC Specimen Submission Form

1. Obtain the CDC Specimen Submission Form from the CDC website or your local health authority.
2. Fill out the Patient Information section with the patient's name, date of birth, and other identifying details.
3. Provide clinical information, including the reason for testing and any relevant symptoms.
4. Specify the specimen type, such as blood, urine, tissue, or swab.
5. Include the collection date and time for the specimen.
6. Complete the section on shipping information, ensuring that you include the sender's name, address, and contact details.
7. Review all information for accuracy and completeness.
8. Sign and date the form where required.

Who needs CDC Specimen Submission Form?

1. Healthcare providers who are submitting specimens for testing to the CDC.
2. Public health laboratories conducting surveillance or investigations.
3. Researchers requiring CDC testing services for infectious diseases.

People Also Ask about

What is the full form of CDC test?

Complement-dependent cytotoxicity (CDC) method is the classic test that involves mixing potential recipient serum with donor T and B lymphocytes in the presence of complement.

How do you process specimens?

During specimen processing you may be required to centrifuge the specimen. Centrifugation is required to obtain either serum or plasma specimens. SSTs require centrifugation to allow formation of the gel barrier between the serum and the red cells. Proper centrifugation is critical to proper processing.

What is the full form of CDC test?

In subject area: Immunology and Microbiology. Complement-dependent cytotoxicity (CDC) method is the classic test that involves mixing potential recipient serum with donor T and B lymphocytes in the presence of complement.

How do you submit specimens to the CDC?

There are currently two methods for submitters to submit specimens to CDC for testing: The CDC Test Order and Reporting (CSTOR) Web Portal (preferred) The CDC 50.34 Specimen Submission Form.

How do you transport blood samples to the lab?

Use insulated containers or ship your samples in temperature-controlled vehicles to maintain the appropriate temperature range for blood samples. This range helps maintain the stability and integrity of the sample. However, specific tests or specialised samples may have different temperature requirements.

For pdfFiller’s FAQs

What is CDC Specimen Submission Form?

The CDC Specimen Submission Form is a document used to request laboratory testing services from the Centers for Disease Control and Prevention (CDC) for various public health concerns.

Who is required to file CDC Specimen Submission Form?

Individuals or organizations such as healthcare providers, laboratories, and public health agencies that need to send specimens to the CDC for testing are required to file this form.

How to fill out CDC Specimen Submission Form?

To fill out the CDC Specimen Submission Form, provide accurate details including patient information, specimen description, type of test requested, and any relevant clinical information. Follow the instructions provided on the form carefully.

What is the purpose of CDC Specimen Submission Form?

The purpose of the CDC Specimen Submission Form is to ensure that all necessary information is provided for laboratory testing and to streamline the process of specimen analysis by the CDC.

What information must be reported on CDC Specimen Submission Form?

Required information on the CDC Specimen Submission Form includes the submitter's contact details, patient identifiers, specimen type, test requested, date of collection, and any pertinent clinical history or symptoms.