Follow the steps to successfully complete the online form

1. Press the ‘Get Form’ button to access and open the Canada BCCDC PHSA DCVI-100-1001F form in the online editor.
2. Begin by completing Section 1, which includes patient and provider information. Enter two matching unique patient identifiers, personal health number, and the name and MSC number of the ordering practitioner. Include the date the form is received and ensure the patient’s surname, first and middle name, date of birth, and sex are accurately recorded.
3. In the same section, indicate if you are a locum and specify if a copy of the report is not required. Include the name of the practitioner you are covering for, if applicable.
4. Fill out the patient address, outbreak ID, sample reference number, city, province, and postal code, along with the date and time the sample was collected.
5. Move to Section 2, where you will specify the test(s) requested. Check the appropriate boxes for the respiratory pathogens or any other tests based on the patient’s status or travel history. Provide detailed outbreak location information as necessary.
6. Specify the sample site and container type for the tests requested. For each test, ensure all required fields are filled, including any specific sample-related instructions.
7. As you fill out the form, review each entry for accuracy. Once completed with all sections, save the changes you have made.
8. Finally, you can download, print, or securely share the completed form as required.

Complete the Canada BCCDC PHSA DCVI-100-1001F form online to facilitate timely medical services.