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SPECIMEN COLLECTION FORM for Visit 5 (L51) Kid Chronic Kidney Disease in Children Cohort Study SECTION A: GENERAL INFORMATION A1.PARTICIPANT ID: AFFIX ID LABEL OR ENTER NUMBER IF ID LABEL IS NOT AVAILABLE|__|
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How to fill out specimen collection form for

01
Gather the necessary information: You will need to know the patient's personal details such as name, date of birth, and contact information.
02
Identify the specimen being collected: Determine the type of specimen that needs to be collected, such as blood, urine, saliva, or tissue.
03
Ensure proper labeling: Make sure to label the specimen collection container with the patient's name, date, and time of collection.
04
Follow any specific instructions: If there are any specific instructions provided, such as fasting before collection or avoiding certain medications, make sure to follow them.
05
Collect the specimen: Use the appropriate method to collect the specimen, such as using a syringe for blood collection or a sterile cup for urine collection.
06
Fill out the form: Fill out the specimen collection form with the relevant information, including the patient's details, specimen type, collection date and time, and any additional notes or observations.
07
Submit the form and specimen: Once the form is filled out, submit it along with the collected specimen to the designated laboratory or healthcare provider.

Who needs specimen collection form for?

01
The specimen collection form is needed by healthcare providers, medical laboratories, and diagnostic centers who are responsible for collecting and analyzing patient specimens. This includes doctors, nurses, laboratory technicians, and other healthcare professionals involved in specimen collection and testing.
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The specimen collection form is used to document and track biological samples collected for testing or analysis.
Healthcare providers or laboratories that collect specimens for diagnostic testing are required to file the specimen collection form.
To fill out the specimen collection form, provide accurate patient information, specify the type of specimen collected, include collection date and time, and any other relevant details required by the testing laboratory.
The purpose of the specimen collection form is to ensure proper identification and handling of specimens, facilitate accurate testing, and maintain records for quality control and accountability.
The information that must be reported includes patient identification details, specimen type, date and time of collection, order details, and the name of the person collecting the specimen.
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