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Referred Syphilis Serology Infections Sciences Pathology Sciences building South mead Hospital Bristol BS10 5NB Tel +44 (0)117 414 6222 DX 6120200 Bristol 90 SENDERS INFORMATION Senders name and addressReferred
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How to fill out referred syphilis serology request
How to fill out referred syphilis serology request
01
Obtain the syphilis serology request form from the laboratory or medical office.
02
Fill out the patient's personal information including name, date of birth, and medical record number.
03
Specify the type of syphilis test requested (e.g. RPR, TP-PA, or FTA-ABS).
04
Indicate the reason for the referral and any relevant clinical information.
05
Sign and date the form, ensuring all information is legible.
06
Submit the completed form to the laboratory or medical office for processing.
Who needs referred syphilis serology request?
01
Healthcare providers who suspect a patient may have syphilis and need confirmatory testing.
02
Patients who have been referred by their healthcare provider for syphilis serology testing.
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What is referred syphilis serology request?
Referred syphilis serology request is a form used to request serology testing for syphilis from a reference laboratory.
Who is required to file referred syphilis serology request?
Healthcare providers or laboratories that do not have the capability to perform syphilis serology testing in-house are required to file referred syphilis serology request.
How to fill out referred syphilis serology request?
The form should be filled out with the patient's information, the specific test requested, and any relevant clinical information. It should then be sent to the reference laboratory for processing.
What is the purpose of referred syphilis serology request?
The purpose of referred syphilis serology request is to ensure that patients receive accurate and timely testing for syphilis.
What information must be reported on referred syphilis serology request?
The information reported should include the patient's name, date of birth, specimen identification, type of test requested, and any relevant clinical details.
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