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FAX: (801) 965-2551 http://health.utah.gov/lab/microbiology. DATE STAMP. TESTING WILL NOT BE PERFORMED UNLESS FORM IS COMPLETELY FILLED OUT. ... QuantiFERON-TB Gold ... Hospitalized w/ Influenza-like
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What is quantiferon gold requistion?
Quantiferon gold requisition is a form that is used to request the Quantiferon Gold test, which is a blood test used to diagnose and monitor tuberculosis (TB) infection.
Who is required to file quantiferon gold requistion?
Healthcare providers, such as doctors or nurses, are typically required to file the Quantiferon Gold requisition form on behalf of their patients who need to undergo the test.
How to fill out quantiferon gold requistion?
To fill out the Quantiferon Gold requisition form, one must provide personal information of the patient, including their name, date of birth, contact information, medical history relevant to the test, and any other required information as specified by the healthcare provider or testing facility.
What is the purpose of quantiferon gold requistion?
The purpose of the Quantiferon Gold requisition is to authorize and request the performance of the Quantiferon Gold test for a specific patient in order to detect or monitor tuberculosis infection.
What information must be reported on quantiferon gold requistion?
The Quantiferon Gold requisition typically requires information such as the patient's full name, date of birth, contact details, relevant medical history, referring healthcare provider's information, and any additional details or instructions specified by the testing facility.
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