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Save As... Print Reset Form Patient Last Name: First Name: Birth date (YYYYMMDD): MOLECULAR MICROBIOLOGY Viral REQUISITION Gender: Male Female Registration Number: Ordering Physicians Full name: MICROBIOLOGY
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How to fill out viral requisition - sickkids
How to fill out viral requisition - sickkids:
01
Obtain the viral requisition form from SickKids or download it from their website.
02
Fill in the patient's demographic information including name, date of birth, gender, and contact information.
03
Provide the patient's medical history and any relevant clinical information.
04
Indicate the specific tests or viral studies that need to be performed.
05
Include the date and time the sample was collected.
06
Specify the type of sample being submitted (e.g., blood, urine, respiratory swab).
07
Fill in the details of the referring healthcare provider including name, contact information, and organization.
08
If applicable, provide any additional instructions or comments for the lab.
09
Review the completed form for accuracy and completeness before submitting it to the lab.
Who needs viral requisition - sickkids:
01
Pediatric patients who are suspected of having viral infections.
02
Healthcare providers who require specialized viral testing for their patients.
03
SickKids is a pediatric hospital, so the viral requisition form would most likely be used for children.
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