Follow the steps to complete the form successfully.

1. Press the 'Get Form' button to access the form and open it for editing.
2. Enter the required information in the 'Einsender' section, including your contact details for report submission. This includes your email address and phone number.
3. In the 'Ansprechpartner' field, provide the name of the contact person, leaving space for their telephone number and email address.
4. If applicable, describe any connection to previous submissions in the corresponding section and provide the previous sample number.
5. Select the desired examination options under 'Gewünschte Untersuchung.' You can check multiple options, such as microscopy, culture, or serological tests.
6. Indicate the gender of the affected person by selecting one of the options: male, female, or diverse.
7. Specify the source of the sample by selecting from the provided choices or indicating another source.
8. Fill in the year of birth and pseudonym for the affected person.
9. Complete the 'Untersuchungsmaterial' section by providing the sample number and selecting the type of material, such as serum, sputum, or biopsy.
10. Indicate the date of collection for the sample.
11. Provide information regarding antifungal therapy, indicating 'yes' or 'no.'
12. Answer the questions regarding additional case-related information, including any foreign travel and relevant symptoms.
13. Document any diagnosed mycoses and risk factors associated with the condition.
14. Finally, confirm the order for the desired testing by filling in the location and date, and providing your name and signature.

Complete your documents online to ensure timely processing of your research requests.