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N4QuantiFERONTB Gold Plus test National Mycobacterium Reference ServiceSouth (NMRSSouth) 61 Colindale Ave, London NW9 5HTEmail NMRS.South@phe.gov.uk phe.nmrssouth@nhs.net www.gov.uk/pheW PHE Microbiology
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How to fill out mycobacterium referral form
How to fill out mycobacterium referral form
01
Download the mycobacterium referral form from the designated healthcare provider or laboratory website.
02
Fill out the patient's personal information such as name, date of birth, and contact details.
03
Provide the reason for referral and any relevant medical history of the patient.
04
Specify the type of test requested and any additional information required by the healthcare provider or laboratory.
05
Sign and date the referral form before submitting it to the designated healthcare provider or laboratory.
Who needs mycobacterium referral form?
01
Patients who have symptoms of mycobacterial infections such as tuberculosis or non-tuberculous mycobacteria.
02
Healthcare providers who suspect a patient may have a mycobacterial infection and require further testing.
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What is mycobacterium referral form?
The mycobacterium referral form is a document used to report cases of mycobacterial infections, ensuring appropriate follow-up and public health interventions.
Who is required to file mycobacterium referral form?
Healthcare providers, laboratories, and facilities that diagnose or treat individuals with mycobacterial infections are required to file the mycobacterium referral form.
How to fill out mycobacterium referral form?
To fill out the mycobacterium referral form, complete all required fields with patient information, the diagnosis, date of diagnosis, and any relevant laboratory results.
What is the purpose of mycobacterium referral form?
The purpose of the mycobacterium referral form is to facilitate the reporting of mycobacterial infections to public health authorities for disease monitoring and control.
What information must be reported on mycobacterium referral form?
The information that must be reported includes patient demographics, clinical details, diagnostic tests performed, and treatment information.
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