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UK HSA Microbiology request formB3Syphilis/Android Referral
STI Reference Laboratory
(STILL)
61 Colin dale Avenue
London NW9 5HTPlease write clearly in dark inkUKHSA Colin dale(BRD)
DX 6530002
Colin
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How to fill out b3 syphilis and chancroid
How to fill out b3 syphilis and chancroid
01
Obtain a b3 form from a healthcare provider or testing center.
02
Fill out the patient's information accurately, including name, date of birth, and contact information.
03
Answer the required questions about symptoms and medical history.
04
Indicate the reason for the test (e.g. exposure to syphilis or chancroid).
05
Follow any additional instructions provided on the form.
06
Submit the completed form to the testing center or healthcare provider.
Who needs b3 syphilis and chancroid?
01
Individuals who have been exposed to syphilis or chancroid.
02
Individuals experiencing symptoms of syphilis or chancroid.
03
Individuals at high risk for contracting syphilis or chancroid.
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What is b3 syphilis and chancroid?
B3 syphilis and chancroid are sexually transmitted infections.
Who is required to file b3 syphilis and chancroid?
Healthcare providers and public health authorities are required to report cases of b3 syphilis and chancroid.
How to fill out b3 syphilis and chancroid?
B3 syphilis and chancroid should be reported using the specified forms provided by the relevant health department or agency.
What is the purpose of b3 syphilis and chancroid?
The purpose of reporting b3 syphilis and chancroid is to track and monitor the spread of these infections in the population.
What information must be reported on b3 syphilis and chancroid?
Information such as patient demographics, symptoms, diagnosis, treatment, and possible sources of infection must be reported on b3 syphilis and chancroid forms.
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