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Canada BCCDC PHSA DCVI-100-1001F 2020-2026 free printable template

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VI Public Health Laboratory Virology Requisition 655 West 12th Avenue Vancouver BC V5Z 4R4 www. bccdc.ca/publichealthlab Section 1 - Patient/Provider Information Two matching unique patient identifiers on sample container and requisition are required for sample processing PERSONAL HEALTH NUMBER ORDERING PRACTITIONER or out-of province Health Number and province DATE RECEIVED Name and MSC PATIENT SURNAME Address of report delivery LABORATORY USE ONLY PATIENT FIRST AND MIDDLE NAME DOB SEX...
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Canada BCCDC PHSA DCVI-100-1001F is a form used in British Columbia for reporting specific types of communicable diseases to the BC Centre for Disease Control (BCCDC) and the Provincial Health Services Authority (PHSA).
Healthcare professionals, including physicians and laboratories, are required to file the Canada BCCDC PHSA DCVI-100-1001F to report cases of communicable diseases as mandated by public health regulations.
To fill out the Canada BCCDC PHSA DCVI-100-1001F, relevant patient information, details about the health condition, and any pertinent clinical data must be accurately completed on the form, following provided instructions carefully.
The purpose of Canada BCCDC PHSA DCVI-100-1001F is to ensure public health surveillance, facilitate the monitoring of disease outbreaks, and contribute to the overall management of communicable diseases in British Columbia.
Information that must be reported includes the patient's demographics, disease specifics, laboratory results, and the healthcare provider's information.
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