Get the free Zika Virus Testing Authorization Request - chicagohan.org
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Zika Virus Testing Authorization Request 1. 2. Completed form should be sent by fax to: Chicago Department of Public Health Communicable Disease program: fax 3127464683. Submitting lab should include
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How to fill out zika virus testing authorization
How to fill out zika virus testing authorization
01
The following steps can be followed to fill out the zika virus testing authorization:
02
Obtain the zika virus testing authorization form from the designated authority or healthcare provider.
03
Read the instructions and requirements mentioned on the form carefully.
04
Provide personal information such as name, contact details, date of birth, and address.
05
Fill out the travel history section, specifying the countries visited in the past few months.
06
Answer the medical history questions regarding any symptoms experienced or previous zika virus infection.
07
If applicable, provide details about any recent sexual contact with a person who has been diagnosed with zika virus.
08
Sign and date the form to authorize the testing process.
09
Submit the completed form to the designated authority or healthcare provider.
10
Follow any further instructions provided by the authority regarding the testing procedure and results.
Who needs zika virus testing authorization?
01
Zika virus testing authorization may be required for the following individuals:
02
Individuals who have recently traveled to areas with known zika virus transmission.
03
Pregnant women, as they are at a higher risk of complications due to zika virus infection.
04
Individuals with symptoms of zika virus infection, such as fever, rash, joint pain, or conjunctivitis.
05
Individuals who have had sexual contact with a person diagnosed with zika virus.
06
It is recommended to consult a healthcare provider or the designated authority to determine if zika virus testing authorization is necessary.
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What is zika virus testing authorization?
Zika virus testing authorization is a document that allows individuals to get tested for the Zika virus.
Who is required to file zika virus testing authorization?
Individuals who suspect they may have been exposed to the Zika virus are required to file zika virus testing authorization.
How to fill out zika virus testing authorization?
To fill out zika virus testing authorization, individuals need to provide their personal information, travel history, and any symptoms they may be experiencing.
What is the purpose of zika virus testing authorization?
The purpose of zika virus testing authorization is to ensure that individuals who may have been exposed to the Zika virus are properly tested and treated if necessary.
What information must be reported on zika virus testing authorization?
Information such as personal details, travel history, and symptoms must be reported on zika virus testing authorization.
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