Get the free Lab Form 197 HIV - chfs ky

This form when filled in contains patient information that must be protected in accordance with the Health Insurance Portability Accountability Act. Form 197 Revised 9/2018KY Division of Laboratory

How to fill out lab form 197 hiv

How to fill out lab form 197 hiv

1. To fill out lab form 197 HIV, follow these steps:
2. Start by entering the patient's personal information, such as name, date of birth, and gender.
3. Next, indicate the date and time the sample was collected.
4. Provide the type of sample collected for HIV testing, whether it's blood, saliva, or other.
5. Specify the test requested, such as HIV screening or confirmatory test.
6. If the patient has undergone prior HIV testing, indicate the date of the last test and the results.
7. Include any relevant clinical information, such as symptoms or suspected exposure to HIV.
8. Indicate the healthcare provider's information, including their name, contact details, and signature.
9. Make sure to review the form for accuracy and completeness before submitting it for testing.

Who needs lab form 197 hiv?

1. Lab form 197 HIV is needed by healthcare professionals or medical facilities that conduct HIV testing and require a standardized form to document the patient's information and testing details.

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What is lab form 197 hiv?

Lab Form 197 HIV is a standardized form used for reporting HIV test results to public health authorities. It is used to collect data on HIV testing and facilitate tracking of HIV trends.

Who is required to file lab form 197 hiv?

Laboratories that perform HIV testing are required to file Lab Form 197 HIV. Additionally, healthcare providers who administer tests may also need to report results using this form.

How to fill out lab form 197 hiv?

To fill out Lab Form 197 HIV, follow the instructions provided on the form, which typically include entering patient demographics, test results, testing dates, and laboratory information. Ensure all mandatory fields are completed accurately.

What is the purpose of lab form 197 hiv?

The purpose of Lab Form 197 HIV is to ensure consistent and accurate reporting of HIV test results, which helps in monitoring the epidemic, providing public health data, and facilitating intervention strategies.

What information must be reported on lab form 197 hiv?

Information that must be reported on Lab Form 197 HIV includes patient identifiers (like name and date of birth), test type, date of the test, test results, and the laboratory's information.