Get Cdph Vrdl-lab300 General Purpose Specimen Submittal Form - Slocounty Ca

Completing the CDPH VRDL-LAB300 General Purpose Specimen Submittal Form is essential for submitting specimens for testing at the California Department of Public Health. This guide will provide you with clear, step-by-step instructions to efficiently fill out the form online, ensuring accurate and complete submissions.

Follow the steps to successfully complete the form online.

1. Press the 'Get Form' button to access the CDPH VRDL-LAB300 General Purpose Specimen Submittal Form and open it for editing.
2. Begin by entering the patient’s mailing address in the designated field, ensuring you include the zip code.
3. Fill out the patient's last name and first name clearly.
4. Indicate the patient's age or sex by circling either 'M' for male or 'F' for female, and provide the date of birth.
5. Specify the disease suspected or test requested by writing it in the appropriate field.
6. Select the route for specimen submission by marking one of the checkboxes: SERO, ISOL, FA, RAB, or EM.
7. Leave the section designated for Virus Laboratory use blank, as this is for their internal use.
8. Provide the specimen type and/or source, as well as the date collected for each specimen being submitted.
9. Fill in the clinical information section, checking relevant boxes or providing details regarding the patient's condition.
10. If applicable, provide additional clinical findings and pertinent laboratory data. Include any travel history or vector exposure information if the disease suspected is rickettsial.
11. Include the submitting physician's information and their contact number.
12. Complete the submitting facility information along with the facility's fax number.
13. Finally, review the entire form for accuracy, then save your changes, download, print, or share the filled-out form as necessary.

Ensure your specimen submissions are accurate and timely by completing the CDPH VRDL-LAB300 form online today.