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INSTRUCTIONS FOR COMPLETING THE HIV-ab SEROLOGY LAB FORM ADPH-CL-109 Revised 6/08 The revised HIV-ab Serology is designed for scanning into a computer database. The REPORT COPY with the results of the HIV-ab test will be placed in the Lab Report section of the client s CHR according to CHR instructions. 30. Date of the last HIV test. 31. Date of the first HIV test. 33. Number of test in the last 12 months. Date Specimen Collected Month day year xx/xx/xxxx 20. Provider Zip Code 9. Ethnicity...
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How to fill out hiv-ab serology lab form
How to fill out hiv-ab serology lab form
01
Read all the instructions on the hiv-ab serology lab form carefully.
02
Start by entering your personal information such as your name, date of birth, and contact information.
03
Provide your healthcare provider's name, contact details, and any additional information they require.
04
Indicate the date and time of the test/sample collection.
05
Include relevant medical history, if necessary.
06
Specify the type of test being requested, in this case, hiv-ab serology.
07
If applicable, mention any specific reasons for requesting the test.
08
Ensure all the necessary checkboxes are filled according to your situation, such as exposure history or symptoms.
09
If you have been previously tested for HIV, indicate the result and date of the previous test.
10
Verify that all the information provided is accurate and legible.
11
Sign and date the form to indicate your consent for the test.
12
Submit the form to the healthcare provider, following their instructions.
Who needs hiv-ab serology lab form?
01
Individuals who suspect they may have been exposed to HIV or have symptoms associated with HIV infection.
02
People who are required to undergo routine HIV testing for their occupation, such as healthcare workers.
03
Individuals participating in research studies or clinical trials may need to fill out hiv-ab serology lab forms.
04
Patients seeking pre or post-exposure prophylaxis (PrEP or PEP) may need to provide this form for testing.
05
Healthcare professionals may request this form for patients presenting with certain conditions or risk factors.
06
Certain countries or immigration processes may require individuals to provide hiv-ab serology lab forms.
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What is hiv-ab serology lab form?
The hiv-ab serology lab form is a document used to report the results of HIV antibody testing.
Who is required to file hiv-ab serology lab form?
Healthcare providers and laboratories are required to file the hiv-ab serology lab form.
How to fill out hiv-ab serology lab form?
The hiv-ab serology lab form should be filled out with the patient's information, testing date, and test results.
What is the purpose of hiv-ab serology lab form?
The purpose of the hiv-ab serology lab form is to document and report the results of HIV antibody testing.
What information must be reported on hiv-ab serology lab form?
The hiv-ab serology lab form must include the patient's name, date of birth, testing date, and test results.
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