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Identification code: F/SER008Version 3.0Effective Date : 04 June 2021 Section 1. PATIENT INFORMATIONAL lastfirstHEPATITIS SEROLOGY REQUEST AND REPORT FORM SEROLOGY LABORATORY MRC Unit The Gambia at
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How to fill out hepatitis serology request and

01
Obtain the hepatitis serology request form from the healthcare provider or laboratory.
02
Fill out the patient's personal information including full name, date of birth, gender, and contact information.
03
Specify the type of hepatitis serology tests requested such as Hepatitis A, Hepatitis B, or Hepatitis C.
04
Indicate the reason for the request and any relevant medical history.
05
Ensure all sections of the form are completed accurately and legibly.
06
Sign and date the form before submitting it to the healthcare provider or laboratory.

Who needs hepatitis serology request and?

01
Individuals who are at risk of hepatitis infection such as healthcare workers, intravenous drug users, individuals with a history of blood transfusions, and those with a history of high-risk sexual behavior.
02
Patients who exhibit symptoms of hepatitis such as jaundice, fatigue, abdominal pain, and nausea.
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A hepatitis serology request is a formal application submitted to laboratories for testing blood samples to determine the presence of hepatitis viruses using specific serological markers.
Healthcare providers, including physicians and clinics, are typically required to file hepatitis serology requests to obtain testing for patients suspected of having hepatitis infection.
To fill out a hepatitis serology request, include patient demographics, clinical information, a selection of tests to be performed, and any relevant medical history. Ensure all required fields are completed accurately.
The purpose of a hepatitis serology request is to diagnose hepatitis infections, determine the type of hepatitis virus present, evaluate liver function, and guide treatment decisions.
Information that must be reported includes patient name, date of birth, medical record number, reason for testing, and specific tests requested.
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