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Filling out the Laboratory Form 96 is an essential process for submitting virology and immunology test requests. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by entering the patient information. Fill in the required fields, including the patient's last name, first name, date of birth, race, and gender. Ensure that all mandatory fields marked with an asterisk are completed.
3. Provide the address details including street address, city, state, zip code, and parish. If applicable, indicate whether the patient is Hispanic.
4. In the reason for the test section, select the appropriate option that describes the patient's condition. Specify 'asymptomatic but suspect' or one of the symptomatic options.
5. Choose the relevant specimen source from the provided options such as stool, nasal, or urine. You must fill in the time of collection and specify if the specimen is frozen.
6. Next, fill out the specimen information section, including the date of collection and specimen type. Indicate the method of submission.
7. Complete the submitter information by entering the details of the submitting facility and the ordering physician. Ensure that contact information is also filled out.
8. If applicable, answer additional questions for COVID-19 testing such as whether it is the first test and details about employment in healthcare.
9. Finally, review all entries for accuracy, then save, download, print, or share the completed form as necessary.

Submit your documents online today for efficient processing.