Get This Form Must Accompany The Delaware Chain Of ... - Dhss Delaware

Filling out the 'This form must accompany the Delaware chain of custody' is a crucial step in ensuring proper handling of samples. This guide will provide you with clear, step-by-step instructions to complete the document with ease and accuracy.

Follow the steps to successfully fill out the form online.

1. Press the ‘Get Form’ button to access the required form and open it in the editing interface.
2. Begin by providing your original specimen collector's information. Print and sign your name in the designated area.
3. Enter the collection date, collection location, and time of collection into the respective fields.
4. Provide a detailed description of the incident, including any signs or symptoms observed, along with the onset and diagnosis.
5. Select the level of risk associated with the samples by checking the appropriate option: High, Moderate, or Low.
6. Indicate the type of sample you are submitting by marking either Clinical or Environmental. In the case of clinical specimens, a LIMS request must be submitted.
7. Describe the sample classification by providing a Sample ID and listing any additional information required.
8. Specify the number of samples and containers used and indicate the type of container (e.g., Powder, Blood, Urine, etc.) that is applicable.
9. List any specific testing requested such as BT/CT analysis, PCR, culture, or any other necessary testing.
10. Provide your submitter information including the agency name, your printed name, signature, organization address, and contact information.
11. Add any additional comments or information in the provided space.
12. Once you have completed all fields, you may choose to save changes, download, print, or share the form for submission.

Complete your form online today to ensure efficient processing of your samples.