Get Afip/ Division Of Forensic Toxicology - Toxicological Request Form Chain ... - Acsap Army

Filling out the Afip/ Division Of Forensic Toxicology - Toxicological Request Form is a crucial step in the process of requesting toxicological analysis. This guide provides clear and supportive instructions for users looking to complete this form online.

Follow the steps to fill out the form online effectively.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. Enter the complete mailing address of the location where the final report is to be forwarded, specifically the Armed Forces Institute of Pathology, Attn: Division of Forensic Toxicology, Building 54, 6825 16th Street, N.W., Washington, DC 20306-6000.
3. Provide the email address for correspondence related to the request.
4. Input the patient's social security number, full name (last, first, middle initial), age, sex, and race.
5. Fill in the date and time of the incident or accident, followed by the time and date of death.
6. Detail the autopsy number assigned to the case.
7. Document the medication history, including any prescribed or administered medications, as well as any containers found near the individual.
8. Record the specific specimens and their amounts. List at least twelve specimens in the format specified: Specimen/Amount, ensuring to separate each entry appropriately.
9. Provide a detailed account of the incident or accident, including pertinent information such as the crash site or any details from the investigation.
10. Enter the printed name and title of the requester, followed by their signature and date.
11. Fill in the requester’s telephone number, including commercial and DSN, along with a fax number if available.
12. Complete the chain of custody section by having each individual involved in the custody of the specimens sign and print their names, along with the date and time of their signature.
13. Once all sections are complete, save your changes and proceed to download, print, or share the finished form as required.

Complete your documents online for efficient processing.