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COUNTY OF SAN LUIS OBISPO HEALTH AGENCY PUBLIC HEALTH DEPARTMENT Michael Hill Health Agency Director Penny Bernstein, MD, MPH Health Officer/Public Health DirectorSurvey of Providers Offering COVID-19
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Start by entering your personal information such as your name, date of birth, and contact details in the designated fields.
02
Provide information about your current symptoms or reason for seeking COVID testing. Specify any known exposure to COVID-19 or relevant travel history.
03
Fill out any additional sections related to medical history or underlying health conditions that may impact your COVID testing.
04
If applicable, enter details about your primary healthcare provider or any healthcare facility you have been visiting for this matter.
05
Review the filled-out form, ensuring all the provided information is accurate and complete.
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Finally, sign the form electronically or print it out and sign manually if required.
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Submit the filled-out form as per the instructions provided, either through online submission or at the designated testing center.

Who needs covid-testing-referral-form-updated?

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Anyone who suspects they may have COVID-19 symptoms or has had close contact with a confirmed COVID-19 case should fill out the COVID testing referral form updated.
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The covid-testing-referral-form-updated is a form used to refer individuals for COVID-19 testing, capturing necessary information to facilitate testing.
Individuals showing symptoms of COVID-19, healthcare providers, or entities organizing testing events may be required to file the covid-testing-referral-form-updated.
To fill out the form, provide personal details, symptoms, medical history, and contact information as specified in the form instructions.
The purpose of the form is to streamline the referral process for COVID-19 testing and ensure the collection of essential information for health authorities.
The form must include patient identification details, contact information, reasons for referral, and any relevant medical history related to COVID-19.
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