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2. Pack the culture in the container assuring that all lids are securely tightened. Enclose the specimen and this completed form in approved packaging conforming to postal laws for shipping cultures and mail to the laboratory. Use a screw-capped tube only. PETRI DISH OR BROTH CULTURE SUBMISSIONS ARE UNSATISFACTORY AND WILL BE DISCARDED UPON RECEIPT. MYCOLOGY TEST REQUEST Date Received State Form 6983 R6/10-07 CLIA Certified Laboratory 15D0662599 ISDH Lab Number Reset Form Patient Last Name...
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How to fill out mycology test request

How to fill out mycology test request
01
Gather all necessary information about the patient and the test being requested.
02
Collect the appropriate sample required for the mycology test. This could include skin scrapings, nail clippings, hair samples, or bodily fluids depending on the specific test.
03
Ensure that the sample is properly labeled and packaged to prevent contamination or damage during transportation.
04
Complete all required paperwork and ensure that all fields are accurately filled out, providing relevant patient details and test requirements.
05
Submit the filled-out mycology test request form along with the sample to the designated laboratory or healthcare facility.
06
Follow any additional instructions provided by the laboratory or healthcare professional regarding timing, storage, or other specific requirements.
07
Wait for the test results to be processed and communicated back by the laboratory or healthcare provider.
08
Review the test results and follow up with the appropriate actions or treatments based on the outcome.
09
Maintain a copy of the mycology test request form and the test results for future reference or medical records.
Who needs mycology test request?
01
Individuals experiencing symptoms related to fungal infections, such as skin rashes, itching, nail discoloration, or persistent respiratory issues.
02
Patients with a history of exposure to certain fungi or at risk of fungal infections due to underlying conditions (immunosuppression, diabetes, etc.).
03
Healthcare professionals who suspect a fungal infection and need confirmation through laboratory analysis for proper diagnosis and treatment planning.
04
Research institutions and scientists requiring mycology test requests for academic or investigative purposes.
05
Employers or organizations involved in occupational health and safety that need mycology test requests to assess environmental fungal exposure risks.
06
Public health agencies monitoring and studying the prevalence and spread of fungal infections.
07
Veterinarians and animal healthcare providers who suspect fungal infections in animals and need to request mycology tests for diagnosis and treatment.
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What is mycology test request?
A mycology test request is a formal application or document requesting a mycology test to be conducted on a sample.
Who is required to file mycology test request?
Anyone who suspects a fungal infection or contamination and wants to confirm it through testing is required to file a mycology test request.
How to fill out mycology test request?
To fill out a mycology test request, one must provide their personal information, details of the sample being submitted, and reason for requesting the test.
What is the purpose of mycology test request?
The purpose of a mycology test request is to determine the presence of fungi in a sample, identify the type of fungi, and diagnose potential infections.
What information must be reported on mycology test request?
Information such as patient details, sample collection date, sample type, symptoms if any, and any previous treatments must be reported on a mycology test request.
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