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Queen\'s Park Counselling Center and Clinic (CCC)THIS BOX IS FOR CCC USE Only results\' stamps variational Venereal Disease Research Laboratory
Test (VDSL) Form
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How to fill out 19-wh-020 syphillis form
How to fill out 19-wh-020 syphillis form
01
Begin by entering the date of the test in the appropriate section.
02
Fill in the patient's personal information, including name, gender, date of birth, and contact information.
03
Provide details of any previous syphilis infection or treatment.
04
Indicate the type of test being performed and the date of sample collection.
05
Record the results of the test and any additional information that may be relevant.
06
Sign and date the form to certify its accuracy.
Who needs 19-wh-020 syphillis form?
01
Individuals undergoing syphilis testing or treatment.
02
Healthcare providers administering syphilis tests.
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What is 19-wh-020 syphillis form?
The 19-wh-020 syphillis form is a document used for reporting cases of syphillis.
Who is required to file 19-wh-020 syphillis form?
Healthcare providers and laboratories are required to file the 19-wh-020 syphillis form.
How to fill out 19-wh-020 syphillis form?
To fill out the 19-wh-020 syphillis form, provide information about the patient, test results, and treatment.
What is the purpose of 19-wh-020 syphillis form?
The purpose of the 19-wh-020 syphillis form is to track and monitor cases of syphillis.
What information must be reported on 19-wh-020 syphillis form?
Information such as patient demographics, test results, and treatment details must be reported on the 19-wh-020 syphillis form.
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