Get Funed Fichas De Encaminhamento De Amostras

The Funed Fichas De Encaminhamento De Amostras is an essential document for managing sample referrals in the healthcare sector. This guide will provide you with step-by-step instructions on how to complete the form accurately and efficiently online.

Follow the steps to successfully complete your form online.

1. Click the ‘Get Form’ button to access the document and open it using your preferred online editor.
2. In the 'Procedência' section, enter the appropriate details including: the health unit (Unidade de Saúde), CNES number, municipality (Município), and GRS. Fill in the health professional's name, their National Health Card (CNS) number, professional registration (Reg. Profissional), and contact phone number. Don’t forget to include the signature.
3. In the 'Informações do Paciente' section, record the patient's name, date of birth, age, and gender by selecting one of the options: Masculino, Feminino, or Ignorado. Include the patient's SINAN number, their National Health Card (CNS), and identification document (RG/CPF/CNH/CNASC). Add the mother's name and full address.
4. Under 'Amostra / Exames', indicate the request date (Data da Solicitação) and whether there is a suspicion of a notifiable disease (Suspeita de DTA). If yes, specify the date of the first symptoms and the occurrence location of the outbreak.
5. List any suspected foods and whether antibiotics were used. Specify the biological material type and answer relevant questions, noting if sample types include 'Fezes “in natura”', 'Swab Fecal', and 'Swab Anal', together with their respective collection dates.
6. For bacterial isolates, specify the identified strain in the required space and provide additional information as necessary.
7. Complete the 'Outras Informações' section, ensuring to include any mandatory paperwork for suspected cases of cholera and typhoid fever. Confirm that additional supporting documents have been attached as necessary.
8. Once all sections are complete, save your changes. You can also download, print, or share the form as needed.

Complete your Funed Fichas De Encaminhamento De Amostras online today!