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Get the free Malaria Reference Laboratory Patient Report/Referral form

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Patient Name: ___ DOB: ___ Date: ___ M# ___ Doctor: ___NEW PATIENT INFORMATION Reason for Visit (Conditions or Symptoms): ___ ___ (Please Mark One) New Patient: ___ Followup Doctor: ___ Followup Chemo:
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How to fill out malaria reference laboratory patient

01
Step 1: Collect the necessary patient information including name, age, and any relevant medical history.
02
Step 2: Obtain a blood sample from the patient using a sterile needle and syringe.
03
Step 3: Prepare the blood sample for testing by following laboratory guidelines for handling and processing blood samples.
04
Step 4: Perform a malaria test on the blood sample using the appropriate diagnostic method (such as microscopy or rapid diagnostic test).
05
Step 5: Record the test results accurately on the patient's laboratory report form.
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Step 6: Communicate the test results to the healthcare provider responsible for the patient's care.

Who needs malaria reference laboratory patient?

01
Patients suspected of having malaria based on symptoms and risk factors.
02
Travelers returning from malaria-endemic regions.
03
Healthcare providers treating patients with fever of unknown origin.
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Malaria reference laboratory patient is a form used to report information about patients with suspected or confirmed cases of malaria.
Healthcare providers and laboratories are required to file malaria reference laboratory patient forms.
Malaria reference laboratory patient forms can be filled out electronically or on paper, following the provided instructions.
The purpose of malaria reference laboratory patient is to track and monitor cases of malaria for public health purposes.
Information such as patient demographics, travel history, symptoms, laboratory test results, and treatment received must be reported on the form.
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