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 Microbiology Requisition H 445 2020-2023

Microbiology Requisition H 445 2020-2023

Use a microbiology requisition form 2020 template to make your document workflow more streamlined.

Clinical/Referred Isolate for ID Bacterial Viral Fungal Mold Yeast Molecular Testing Chlamydia/Gonorrhea Combo NAAT Mycoplasma genitalium NAAT Trichomonas vaginalis NAAT Gastrointestinal Pathogen Panel Respiratory Pathogen Panel SARS-CoV-2 NAAT PATIENT HISTORY/CLINICAL INFO Clinical Diagnosis Date of onset / / mm dd Surveillance Disease Determination Date of death / / PCR Bordetella pertussis/parapertussis Clostridium difficile Enterovirus Herpes Simplex Virus 1/2 Influenza A/B Legionella...
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