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SDI12634 Hoover Street Garden Grove, CA 92841 Tel: (877) 5090376 Fax: (562) 9413384AFFIXED LABEL PT.1 ONLYToxicology Requisition Form PATIENTS LAST NAMEFIRST NAMEMIDDLE INITIALDATE OF BIRTHSTREET
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How to fill out patient test for covid-19

01
Contact your healthcare provider to schedule a test.
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Upon arrival at the testing facility, follow the instructions provided by the staff.
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Provide your personal information and medical history as requested.
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Undergo the swab test as directed by the healthcare professional.
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Wait for the test results to be delivered to you.

Who needs patient test for covid-19?

01
People who are symptomatic and suspect they may have been exposed to the virus.
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Individuals who have been in contact with someone who has tested positive for COVID-19.
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Healthcare workers and first responders.
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People planning to travel to certain locations that require a negative test result.
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Patient test for covid-19 is a diagnostic test used to detect the presence of the coronavirus in an individual.
Healthcare providers and testing facilities are required to file patient test results for covid-19.
Patient test for covid-19 can be filled out by including the patient's personal information, test results, and relevant medical history.
The purpose of patient test for covid-19 is to monitor the spread of the virus, track potential outbreaks, and provide necessary medical care to those infected.
Patient test for covid-19 must include the patient's name, date of birth, date of test, test results, and contact information.
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