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Sonoma County Public Health Laboratory3313 Chan ate Road, Santa Rosa, CA 95404 Telephone: (707) 5654711 Fax: (707) 5657839COVID19 (Novel Coronavirus, SARSCoV2) Test Requisition Form (Lab use only)
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How to fill out novel coronavirus specimen requisition

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How to fill out novel coronavirus specimen requisition

01
Obtain the novel coronavirus specimen requisition form from a healthcare provider or a testing facility.
02
Fill in your personal information such as your name, age, gender, and contact details.
03
Provide relevant medical information such as your symptoms, travel history, and exposure to individuals who have tested positive for COVID-19.
04
Follow the instructions on the form to indicate the type of specimen you are providing (e.g., nasal swab, throat swab, or saliva sample).
05
Make sure to carefully follow any specific instructions regarding specimen collection, such as the time and method of collection.
06
Once the form is completed and the specimen is collected, return the requisition form and the specimen to the relevant healthcare provider or testing facility for processing and analysis.

Who needs novel coronavirus specimen requisition?

01
Novel coronavirus specimen requisition is needed by individuals who are experiencing symptoms of COVID-19 or have been exposed to the virus.
02
Healthcare providers and testing facilities also require the requisition form in order to process and analyze the collected specimens for COVID-19 testing.
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Novel coronavirus specimen requisition is a form used to request testing for COVID-19.
Healthcare providers and laboratories are required to file novel coronavirus specimen requisitions.
To fill out a novel coronavirus specimen requisition, healthcare providers need to provide necessary information including patient details, testing information, and other relevant data.
The purpose of novel coronavirus specimen requisition is to facilitate testing for COVID-19 and track the spread of the virus.
Information such as patient details, testing information, specimen collection details, and patient symptoms must be reported on novel coronavirus specimen requisition.
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