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ZIKA TEST REQUEST FORM FAILURE TO COMPLETE ALL FIELDS WILL RESULT IN SPECIMEN REJECTION OR DELAYED TESTINGPublic Health Laboratories 12750 Erickson Avenue Downey, CA 90242 Phone: 5626581330/1300 Fax:

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How to fill out zika test request form

01

Step 1: Begin by accessing the zika test request form on the official website.

02

Step 2: Read the instructions provided on the form carefully.

03

Step 3: Fill out your personal information such as name, date of birth, and contact details.

04

Step 4: Provide relevant medical history regarding any symptoms or possible exposure to the Zika virus.

05

Step 5: Answer all the questions on the form accurately and truthfully.

06

Step 6: If applicable, provide information about recent travel to areas with known Zika virus transmission.

07

Step 7: Double-check all the filled-out information for any errors or missing details.

08

Step 8: Once satisfied, submit the completed form as per the given instructions.

09

Step 9: Await further communication from the designated authorities regarding the zika test.

10

Step 10: Follow any additional instructions provided by medical professionals or health organizations.

Who needs zika test request form?

01

Individuals showing symptoms of Zika virus infection.

02

Pregnant women or women planning to become pregnant.

03

Individuals who have recently traveled to areas with known Zika virus transmission.

04

People with a weakened immune system or other underlying health conditions.

05

Healthcare professionals or researchers monitoring the spread of the Zika virus.

06

Anyone advised or referred by a medical professional for a zika test.

07

Individuals concerned about their potential exposure to the Zika virus.

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