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Tests and Services Received Report InstructionsThis K12 COVID-19 Testing Project is supported by the CDC of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance
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How to fill out tests and services received

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Read the instructions carefully before starting the test or service.
02
Provide accurate information and avoid any errors in filling out the forms.
03
Follow any specific guidelines or requirements given by the healthcare provider or organization.
04
Make sure to sign and date the forms if required.
05
Double-check all the information provided before submitting the test or service.

Who needs tests and services received?

01
Anyone who requires medical tests or services from a healthcare provider.
02
Patients who need to monitor their health conditions or receive treatment.
03
Individuals who are participating in a research study or clinical trial.
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Tests and services received refer to any examinations or treatments received by an individual.
Individuals who have undergone tests and services are required to report them.
One can fill out tests and services received by providing accurate details of the examinations or treatments received.
The purpose of reporting tests and services received is to provide an overview of the medical care received.
Information such as the date of the test or service, the name of the provider, and the type of examination or treatment must be reported.
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