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SEMEN MICROBIOLOGY SUBMISSION FORM MADISON 445 Easter day Lane Madison, WI 53706 PH: (800× 6088387 FAX: (847× 5748085 For Laboratory Use Only BARRON 1521 E. Guy Avenue, P.O. Box 97 Barron, WI 548120097

How to fill out semen microbiology submission form

How to fill out a semen microbiology submission form:

1. First, gather all the necessary information required to complete the form, such as the patient's personal details (name, age, contact information), medical history, and any relevant clinical symptoms.
2. Next, indicate the date and time of sample collection on the form. It is crucial to ensure accurate documentation.
3. Specify the type of test you are submitting the sample for, whether it is a routine semen analysis or a specific microbiology investigation.
4. Provide details about the referring healthcare professional or laboratory, including their name, address, and contact information.
5. Record the sample collection information, such as the method used (e.g., masturbation, surgical retrieval), abstinence period, and any special instructions given to the patient.
6. Include information about the transport medium used to preserve the sample during transportation, if applicable.
7. Indicate any additional tests or investigations requested for the sample, if required.
8. Make sure to sign and date the submission form, certifying that all the provided information is accurate to the best of your knowledge.
9. Keep a copy of the completed form for your records before submitting it to the laboratory for analysis.

Who needs a semen microbiology submission form:

1. Medical professionals specializing in reproductive health, such as urologists, andrologists, or fertility specialists, may require semen microbiology submission forms to assess male infertility issues or diagnose potential reproductive infections.
2. Couples seeking fertility treatments or individuals undergoing assisted reproductive technologies (ART) may need to complete semen microbiology submission forms as part of their evaluation process.
3. Researchers or scientists conducting studies related to male reproductive health or microbiology may also need specific information obtained from these forms to advance their studies or validate their findings.

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