Get Ph Neqas Laboratory Enrollment Form 2015

Filling out the PH NEQAS Laboratory Enrollment Form online is a straightforward process that ensures your laboratory is part of the national external quality assessment scheme. This guide will provide step-by-step instructions tailored to your needs, enabling you to complete the form efficiently and accurately.

Follow the steps to complete the enrollment form successfully.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. Begin by entering the name of your laboratory or hospital in the first section, ensuring to avoid abbreviations.
3. Provide the full address of your laboratory or hospital, including the street number, barangay, municipality or city, province, and postal code.
4. Fill in the contact telephone number and fax number of your facility.
5. Include your laboratory's website or email address for future correspondence.
6. Indicate the name of the contact person who will be responsible for the enrollment process.
7. Obtain and provide the contact person’s telephone or mobile number.
8. Fill in the contact person's email address for official communications.
9. Answer whether your hospital or laboratory has previously participated in NEQAS by selecting 'Yes' or 'No.' If 'Yes,' provide the year of last participation and your assigned hospital/laboratory ID number.
10. Indicate the ownership status of your hospital or laboratory by selecting from government, private, or semi-private.
11. Fill in the names of the hospital chief or director, as well as the laboratory chief or head.
12. Specify the head of bacteriology, parasitology, and TB laboratory as applicable.
13. Select the best way for NEQAS to contact you.
14. Choose the program(s) your laboratory wishes to enroll in, selecting from bacteriology, parasitology, TB microscopy, or optional TB culture.
15. Ensure that you have the required documentation ready, including the enrollment form, payment, and a photocopy of the latest certificate of participation in an external quality assessment.
16. Indicate the method of payment you prefer, such as cheque or cash, and be aware that direct bank deposits are not accepted.
17. Thoroughly review all information for accuracy before submitting.
18. Once completed, save changes, download, print, or share the form as necessary to proceed with the enrollment.

Complete your PH NEQAS Laboratory Enrollment Form online today to ensure your laboratory's participation!