Get the free HIV/CD4 Laboratory Reporting Form - ideha dhmh maryland
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This document provides instructions for reporting HIV infection and CD4+ lymphocyte test results to local health authorities in Maryland.
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How to fill out hivcd4 laboratory reporting form
How to fill out HIV/CD4 Laboratory Reporting Form
01
Obtain the HIV/CD4 Laboratory Reporting Form from your local health department or laboratory.
02
Fill in the patient's demographic information, including name, date of birth, and gender.
03
Record the patient's medical record number or unique identification number.
04
Indicate the date of the sample collection for the HIV test and CD4 count.
05
Specify the type of tests conducted (HIV test and CD4 count).
06
Enter the results of the HIV test, including any confirmation test results.
07
Fill in the CD4 count results accurately and ensure it is in the required units.
08
Provide information about the clinician or healthcare provider that ordered the test.
09
Sign and date the form to certify the accuracy of the information provided.
10
Submit the completed form to the appropriate health authority or laboratory.
Who needs HIV/CD4 Laboratory Reporting Form?
01
Healthcare providers who conduct HIV testing and CD4 count assessments.
02
Laboratories processing HIV/CD4 tests.
03
Public health agencies tracking HIV prevalence and care.
04
Organizations involved in HIV/AIDS prevention and treatment programs.
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What is HIV/CD4 Laboratory Reporting Form?
The HIV/CD4 Laboratory Reporting Form is a standardized document used by laboratories to report test results related to HIV and CD4 cell counts to public health authorities.
Who is required to file HIV/CD4 Laboratory Reporting Form?
Organizations and laboratories that conduct HIV and CD4 testing are required to file the HIV/CD4 Laboratory Reporting Form.
How to fill out HIV/CD4 Laboratory Reporting Form?
To fill out the HIV/CD4 Laboratory Reporting Form, you should include patient identification information, test results, date of testing, and laboratory details, ensuring all fields are accurately completed according to the provided instructions.
What is the purpose of HIV/CD4 Laboratory Reporting Form?
The purpose of the HIV/CD4 Laboratory Reporting Form is to monitor HIV trends, manage public health responses, and support healthcare providers in treating patients effectively.
What information must be reported on HIV/CD4 Laboratory Reporting Form?
The information reported on the HIV/CD4 Laboratory Reporting Form includes patient demographic details, HIV test results, CD4 counts, testing dates, and laboratory information.
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