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Quantifier TB Request Form HOSPITAL NAME: ___WARD: ___PATIENT DETAILS SURNAME: __/__/__/__/__/__/__/__/__/__/__/__/__/__/ FORENAME: __/__/__/__/__/__/__/__/__/__/__/__/ DATE OF BIRTH: __ __/__ __/__
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Ensure you have the correct version of the Quantiferon TB request form from cdn.media.eurofins.com/quantiferon-tb-uk
02
Fill in the patient's personal information including name, date of birth, and contact details
03
Provide relevant medical history including previous TB exposure or treatment
04
Indicate the reason for the test and any specific requests for testing
05
Ensure the form is signed and dated by a healthcare professional

Who needs cdnmediaeurofinscomquantiferon-tb-ukquantiferon tb request form?

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Healthcare professionals who are requesting a Quantiferon TB test for their patients
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The cdnmediaeurofinscomquantiferon-tb-ukquantiferon tb request form is a form used to request Quantiferon TB testing.
Healthcare providers or individuals requesting Quantiferon TB testing are required to file the cdnmediaeurofinscomquantiferon tb request form.
To fill out the cdnmediaeurofinscomquantiferon-tb-ukquantiferon tb request form, provide all required information including patient details, testing information, and contact information.
The purpose of the cdnmediaeurofinscomquantiferon-tb-ukquantiferon tb request form is to facilitate the request and processing of Quantiferon TB testing.
Information such as patient name, date of birth, requested tests, and ordering healthcare provider details must be reported on the cdnmediaeurofinscomquantiferon-tb-ukquantiferon tb request form.
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