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G2A Specimen Submission Form (Jan 2020)Rev. 1 CAP# 302440****For DSS Use Only***CIA #45D0660644www.dshs.texas.gov/labSpecimen Acquisition: (512) 7767598Section 1. SUBMITTER INFORMATION (** REQUIRED) Submitter/TPI

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How to fill out serology specimen submission form

01

Begin by collecting the necessary information such as patient demographics, including full name, date of birth, and sex.

02

Next, indicate the type of serology test being requested in the form.

03

Provide information on the healthcare provider, including their name, contact information, and facility.

04

Specify the date and time of specimen collection.

05

Describe the specimen source (e.g., blood, serum, plasma) and the volume of the specimen collected.

06

If applicable, mention any specific transport instructions.

07

Finally, ensure that all required fields are completed and sign the form if necessary.

Who needs serology specimen submission form?

01

Serology specimen submission form is typically required for individuals who need serology testing. This may include patients who are being evaluated for specific diseases or conditions that can be detected through serological analysis, such as autoimmune diseases or infectious diseases.

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What is serology specimen submission form?

The serology specimen submission form is a document used to provide necessary information when submitting serum samples for laboratory testing to detect specific antibodies or antigens in the blood.

Who is required to file serology specimen submission form?

Healthcare providers, laboratories, and any entities submitting serology specimens for testing are required to file the serology specimen submission form.

How to fill out serology specimen submission form?

To fill out the serology specimen submission form, you must provide accurate patient information, the type of tests being requested, specimen details, and any relevant clinical information, ensuring all fields are completed as required.

What is the purpose of serology specimen submission form?

The purpose of the serology specimen submission form is to ensure proper identification and tracking of specimens submitted for serological testing, facilitating accurate analysis and reporting of results.

What information must be reported on serology specimen submission form?

Information that must be reported includes patient demographics (name, date of birth, etc.), specimen type, test requests, date of collection, and the name of the submitting healthcare provider.

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