This document is a clinical laboratory test requisition form for the NH Public Health Laboratories. It requests submitter and patient identifying information as well as details about the specimen including the collection date, time, and site. Over 30 types of tests are listed covering a wide range of areas including epidemiology studies, mycobacteria, legionella, parasitology, pertussis, syphilis, viral testing, bacterial cultures, chemistry, chlamydia, gonorrhea, and hepatitis. Fields are provided to specify test requests and any additional comments.
This document is a clinical laboratory test requisition form for the NH Public Health Laboratories. It requests submitter and patient identifying information as well as details about the specimen including the collection date, time, and site. Over 30 types of tests are listed covering a wide range of areas including epidemiology studies, mycobacteria, legionella, parasitology, pertussis, syphilis, viral testing, bacterial cultures, chemistry, chlamydia, gonorrhea, and hepatitis. Fields are provided to specify test requests and any additional comments.
This document is a clinical laboratory test requisition form for the NH Public Health Laboratories. It requests submitter and patient identifying information as well as details about the specimen including the collection date, time, and site. Over 30 types of tests are listed covering a wide range of areas including epidemiology studies, mycobacteria, legionella, parasitology, pertussis, syphilis, viral testing, bacterial cultures, chemistry, chlamydia, gonorrhea, and hepatitis. Fields are provided to specify test requests and any additional comments.