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Receiving Facility Signature (This form is to be used only when no signature was obtained on Tablet PCR) Patients Name: Date of Service: Run Number: Crew Member: Part I (Crew Member) Complete this
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The pcr receiving facility signature is the signature of the facility that receives the Polymerase Chain Reaction (PCR) test results for COVID-19.
The facility that receives the PCR test results is required to file the pcr receiving facility signature.
To fill out the pcr receiving facility signature, the facility must provide their official signature, date of signature, and any other required information specified by the reporting authority.
The purpose of the pcr receiving facility signature is to acknowledge that the facility has received the PCR test results and assumes responsibility for their further handling and reporting.
The pcr receiving facility signature should include the facility's name, address, contact information, and any other information required by the reporting authority.
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