Get Nj Lab-10 2014-2025

Filling out the NJ LAB-10 form online is a straightforward process that requires attention to detail. This guide provides step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to fill out the NJ LAB-10 form online.

1. Click the ‘Get Form’ button to access the NJ LAB-10 form and open it in your browser.
2. Begin by completing the patient information section. Fill in the first and last name, address, city, state, zip code, date of birth, and gender details. Ensure to use clear, legible handwriting if applicable.
3. Provide the patient’s race by checking the appropriate box and note their status, including the reason for the Quantiferon-TB Gold test and any prior positive PPD tests.
4. In the decision fields regarding the test, indicate if this is an initial or repeated test. Additionally, answer questions about exposure to MTB and whether the patient is immunocompromised.
5. Complete the specimen information section with the dates and times of collection and incubation, along with the initials of the person who collected the sample.
6. In the submitter/requester information area, fill out the site number, provider details, and contact information, ensuring the attention and fax fields are filled in as needed.
7. Obtain the ordering physician's signature and date the form appropriately.
8. After filling out all sections, review the form for accuracy before saving your changes. You may then download, print, or share the completed form as needed.

Complete your NJ LAB-10 form online today to ensure timely processing of your request.