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INFLUENZA LAB SUBMISSION Page 1 of 3 Indiana State Department of Health14783State Form 52419 (R2 / 707)read before Instructions: Please reconstructions: before you Please complete this form completing
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Influenza lab submission is the process of submitting samples of patients suspected of having influenza to a laboratory for testing.
Healthcare providers, laboratories, and public health agencies are required to file influenza lab submission.
To fill out influenza lab submission, healthcare providers collect samples from patients, complete the necessary forms, and send the samples to a designated laboratory for testing.
The purpose of influenza lab submission is to track and monitor the spread of influenza, identify circulating strains, and guide public health interventions.
Influenza lab submission must include patient demographics, symptom onset date, sample collection date, lab test results, and any relevant travel history.
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