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Pharyngeal Swab Kit Order Form HEADDRESS WSDL Supply Department 445 Easter day Lane Madison, WI 53706CONTACT INFO Phone: (608) 2625432 or Toll free: (800) 6088387 Fax: (608) 4161539 Email: supplyroom@wvdl.wisc.edu___ www.wvdl.wisc.eduPLEASE

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How to fill out pharyngeal swab order form

01

Obtain a pharyngeal swab order form from the healthcare provider requesting the test.

02

Fill out the patient's personal information, including name, date of birth, and contact information.

03

Provide any relevant medical history or symptoms that may help in the diagnosis.

04

Indicate the specific test or tests that are being requested using the appropriate checkboxes or write-in options.

05

Include any additional instructions or comments that the healthcare provider may need to know.

06

Review the form for accuracy and completeness before submitting it to the laboratory for processing.

Who needs pharyngeal swab order form?

01

Healthcare providers who want to order a pharyngeal swab test for their patients.

02

Individuals who have been instructed by their healthcare provider to undergo a pharyngeal swab test.

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What is pharyngeal swab order form?

The pharyngeal swab order form is a document used to request a pharyngeal swab test for an individual.

Who is required to file pharyngeal swab order form?

Healthcare professionals are required to file the pharyngeal swab order form for patients who need the test.

How to fill out pharyngeal swab order form?

The pharyngeal swab order form should be filled out with the patient's demographic information, reason for the test, and any relevant medical history.

What is the purpose of pharyngeal swab order form?

The purpose of the pharyngeal swab order form is to facilitate the ordering and processing of pharyngeal swab tests for individuals.

What information must be reported on pharyngeal swab order form?

The pharyngeal swab order form must include the patient's name, date of birth, contact information, symptoms, and any relevant medical history.

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