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Ref No: ___
Date: ___MOH Surveillance Submission Forms form should only be used for laboratories and physicians to submit specimens/ isolates under MOH surveillance
and investigation.
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How to fill out nphl test request form
How to fill out nphl test request form
01
Retrieve the NPHL test request form from the designated website or laboratory.
02
Fill in all the required fields accurately, including patient information, healthcare provider details, and test specifications.
03
Provide a clear and concise reason for the requested test.
04
Include any relevant medical history or symptoms that may help in the interpretation of the test results.
05
Submit the completed form to the laboratory or healthcare provider as instructed.
Who needs nphl test request form?
01
Healthcare providers who suspect a patient may have a specific infectious disease that can be tested for through NPHL tests.
02
Patients who have been recommended by their healthcare provider to undergo specific testing through NPHL.
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What is nphl test request form?
The nphl test request form is a document used to request testing services from the National Public Health Laboratory (NPHL).
Who is required to file nphl test request form?
Healthcare providers, clinics, hospitals, and laboratories are required to file the nphl test request form.
How to fill out nphl test request form?
To fill out the nphl test request form, the requester must provide patient information, reason for testing, and other relevant details.
What is the purpose of nphl test request form?
The purpose of the nphl test request form is to facilitate the processing of testing requests and ensure accurate reporting of results.
What information must be reported on nphl test request form?
Information such as patient demographics, medical history, and specific tests requested must be reported on the nphl test request form.
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