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REQUISITION FOR VIRAL STI, POLY OMA AND HERPESVIRUS TESTING SENDER INFORMATION Viral Exanthemata and Sexually Transmitted Diseases National Microbiology Laboratory 1015 Arlington Street, Winnipeg,

How to fill out requisition for viral sti

How to Fill Out Requisition for Viral STI:

1. Start by carefully reading the requisition form provided by your healthcare provider. Familiarize yourself with the sections and instructions outlined in the form.
2. Make sure you have all the necessary information and documents before filling out the requisition. This may include your personal identification, insurance information, and any relevant medical history.
3. Begin by filling out the patient information section. Enter your full name, date of birth, gender, and contact information accurately.
4. If required, provide information about your healthcare provider, such as their name, address, and contact details. This is essential for accurate communication and reporting.
5. Proceed to the section that requires information about the viral STI. This may include the name of the infection, the date of diagnosis if known, and any relevant details about previous treatment or medical intervention.
6. If requested, provide additional information about any symptoms you may be experiencing related to the viral STI. This could include details about the onset of symptoms, their severity, and any changes in your medical condition.
7. If applicable, include any information regarding sexual contacts or partners, as this can aid in contact tracing and prevention efforts.
8. Review all the information you have provided to ensure its accuracy and completeness. Double-check spellings, dates, and contact details to minimize errors or delays.
9. Sign and date the requisition form at the designated spot to certify that the provided information is true and accurate to the best of your knowledge.
10. Finally, follow the instructions provided on the form regarding where and how to submit the requisition. This may involve delivering it to a specific healthcare facility, mailing it, or submitting it electronically.

Who Needs Requisition for Viral STI:

1. Individuals who suspect they may have contracted a viral sexually transmitted infection (STI) should obtain a requisition form to facilitate diagnostic testing.
2. People who have been diagnosed with a viral STI in the past and require follow-up testing or monitoring may also need a requisition form.
3. Healthcare providers may request a requisition for viral STI testing for patients who exhibit symptoms or show risk factors for these types of infections. This helps in timely identification, treatment, and prevention.

Note: It is important to consult with a healthcare professional for accurate information and guidance specific to your situation.

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