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Human Test Requisition FormCoccidioidomycosis
Serology LaboratoryClear Form NPI# 1386895068 | CIA# 05D0644125 | Director Stuart Cohen, MD: NPI# 1043290455
Phone 5307521757 | Fax 5307526813 | coccy@ucdavis.edu
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How to fill out coccidioidomycosis human test requisition
How to fill out coccidioidomycosis human test requisition
01
Obtain the appropriate coccidioidomycosis human test requisition form from your healthcare provider or laboratory.
02
Fill out the patient's information including full name, date of birth, gender, and contact information.
03
Provide relevant medical history and clinical information that may be helpful for the healthcare provider to interpret the test results.
04
Indicate the specific coccidioidomycosis test(s) requested by checking the appropriate boxes or providing clear instructions.
05
Sign and date the requisition form as required by the laboratory or healthcare provider.
06
Submit the completed requisition form along with any additional specimens or samples as instructed by the laboratory.
Who needs coccidioidomycosis human test requisition?
01
Individuals who are suspected to have coccidioidomycosis, also known as Valley fever, may need a coccidioidomycosis human test requisition.
02
Healthcare providers who are evaluating patients with symptoms suggestive of coccidioidomycosis may also require a test requisition to order appropriate diagnostic tests.
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What is coccidioidomycosis human test requisition?
Coccidioidomycosis human test requisition is a form or document used to request testing for the fungal infection known as coccidioidomycosis.
Who is required to file coccidioidomycosis human test requisition?
Healthcare providers or medical professionals are required to file coccidioidomycosis human test requisition.
How to fill out coccidioidomycosis human test requisition?
To fill out coccidioidomycosis human test requisition, provide patient information, reason for testing, and any relevant medical history.
What is the purpose of coccidioidomycosis human test requisition?
The purpose of coccidioidomycosis human test requisition is to request testing for coccidioidomycosis in individuals suspected of being infected.
What information must be reported on coccidioidomycosis human test requisition?
Information reported on coccidioidomycosis human test requisition includes patient demographic information, reason for testing, and any relevant medical history.
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