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Get the free DH 1628 / OraSure/ Linkage to Care Supply Request Form

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Florida Department of Health in Miami-Dade. County. Division of Communicable Diseases STD/HIV Prevention and. Control Program 2515 West Flagler Street ...
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How to fill out dh 1628 orasure linkage

01
To fill out DH 1628 Orasure Linkage, follow these steps:
02
Write the name of the individual whose linkage you are completing.
03
Provide the individual's date of birth and contact information.
04
Indicate the date and location of the orasure test.
05
Specify the type of orasure test conducted and the results.
06
Include any additional relevant information or comments.
07
Sign and date the form to certify its accuracy.
08
Submit the completed form to the appropriate authority or organization.

Who needs dh 1628 orasure linkage?

01
DH 1628 Orasure Linkage is needed by individuals or organizations involved in conducting orassure tests for HIV or other infectious diseases.
02
This form helps in documenting and linking the test results to the individual being tested.
03
It is crucial for healthcare providers, testing centers, public health agencies, and research institutions.
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dh 1628 orasure linkage is a form used to report linkage information for Orasure testing.
Healthcare providers who perform Orasure testing are required to file dh 1628 orasure linkage.
Dh 1628 orasure linkage can be filled out by providing the required information about the Orasure testing and relevant linkage details.
The purpose of dh 1628 orasure linkage is to track and report linkage information for Orasure testing.
Information such as the date of Orasure testing, patient demographics, testing location, and linkage details must be reported on dh 1628 orasure linkage.
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