ND Form SFN 59122 2009 free printable template
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CLEARVIEW? COMPLETE RAPID HIV TEST RESULT NORTH DAKOTA DEPARTMENT OF HEALTH DIVISION OF DISEASE CONTROL SON 59122 (10-09) This form should be used to document HIV test results when using the Clearview?
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How to fill out ND Form SFN 59122
01
Obtain ND Form SFN 59122 from the appropriate state office or website.
02
Read the instructions carefully before starting to fill out the form.
03
Enter your full name in the designated section.
04
Provide your current address, including city, state, and ZIP code.
05
Fill in your date of birth in the specified format.
06
Indicate your contact information, including phone number and email address.
07
Complete any sections related to specific eligibility criteria relevant to the form.
08
Review the form for accuracy and completeness.
09
Sign and date the form at the bottom as required.
10
Submit the completed form to the designated agency or office.
Who needs ND Form SFN 59122?
01
Individuals applying for certain state services or benefits that require verification of identity or eligibility.
02
People who need to document specific information as mandated by North Dakota state regulations.
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People Also Ask about
What is Clearview HIV 1 2 stat Pak?
The Clearview® HIV 1/2 STAT-PAK® assay is a single-use rapid immunochromato- graphic test for the qualitative detection of antibodies to Human Immunodeficiency Virus Type 1 (HIV-1) and Type 2 (HIV-2) in fingerstick whole blood, venous whole blood, serum or plasma specimens.
What does HIV 1 2 negative mean?
Negative results for both HIV-1 and HIV-2 antibodies usually indicate the absence of HIV-1 and HIV-2 infection. However, in patients with reactive initial combined HIV-1/-2 antigen and antibody test results, such negative results do not rule-out acute or early HIV infection.
What is the HIV 1 HIV-2 antibody test?
The HIV antibody test advised by the CDC is the HIV-1/2 antigen/antibody combination immunoassay test. If you test positive for HIV, the CDC advises the following follow-up tests: HIV-1/HIV-2 antibody differentiation immunoassay. This test is to confirm HIV and find out if you have HIV-1 or HIV-2.
What is HIV-1 2 antigen antibody results?
Reactive HIV-1/-2 antigen and antibody screening test results suggest the presence of HIV-1 and/or HIV-2 infection, but it is not diagnostic for HIV infection and should be considered preliminary. A reactive result does not differentiate among reactivity with HIV-1 p24 antigen, HIV-1 antibody, and HIV-2 antibody.
What does it mean when HIV 1 2 is positive?
A positive result means that HIV antibodies were found and that you may have HIV.
What does it mean when HIV-2 antibody is positive?
A positive HIV antibody test means that the body has been exposed to HIV (and the body has produced antibodies in response to this exposure). A person with a positive HIV test will need to have further testing done to confirm this diagnosis.
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What is ND Form SFN 59122?
ND Form SFN 59122 is a specific form used in North Dakota for reporting transactions related to certain financial activities.
Who is required to file ND Form SFN 59122?
Individuals and businesses engaged in specific financial transactions as outlined by North Dakota regulations are required to file ND Form SFN 59122.
How to fill out ND Form SFN 59122?
To fill out ND Form SFN 59122, individuals must provide accurate information as requested in the form, including details about the transaction, parties involved, and any relevant financial data.
What is the purpose of ND Form SFN 59122?
The purpose of ND Form SFN 59122 is to ensure compliance with state financial reporting requirements and to monitor and regulate financial transactions in North Dakota.
What information must be reported on ND Form SFN 59122?
The information that must be reported includes the date of the transaction, the names of the parties involved, the amount of the transaction, and any other specifics required by the form.
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