Intake form for COVID-19 Coronavirus Testing

State:
Multi-State
Control #:
US-CVD-007
Format:
PDF
Instant download

Description

This intake form collects patient information when a COVID-19 coronavirus test is requested.

How to fill out Intake Form For COVID-19 Coronavirus Testing?

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FAQ

A molecular test using a deep nasal swab is usually the best option, because it will have fewer false negative results than other diagnostic tests or samples from throat swabs or saliva. People who are in the hospital, though, may have other types of samples taken.

Testing is free of charge regardless of insurance or immigration status. All COVID-19 testing and related services must be free of charge to Illinois residents, regardless of insurance or immigration status.

Most tests to diagnose COVID-19 require a swab of your nose, or the part of the throat behind the nose, by a health care provider. A few tests use saliva (spit) or other types of collection methods. For most tests, the swab or sample must be sent to a lab for analysis.

Serology tests look for antibodies in blood. If antibodies are found, that means there has been a previous infection. Antibodies are proteins that can fight off infections.

Yes, the FDA has issued Emergency Use Authorizations (EUAs) for different types of COVID-19 tests. Some tests are used to diagnose the virus that causes COVID-19 infection whereas other tests are used to detect a recent or prior COVID-19 infection.

For a COVID-19 diagnostic test, a health care professional takes a sample of mucus from your nose or throat, or a sample of saliva. The sample needed for diagnostic testing may be collected at your doctor's office, a health care facility or a drive-up testing center.

In general, these lab tests fall into two categories: Molecular tests, which look for evidence of active infection; and Serology tests, which look for previous infection by detecting antibodies. Serology tests are for surveillance or investigational purposes and not for diagnostic purposes.

Ohio State offers multiple testing locations. If you have an Ohio State provider, call that office directly to assess your symptoms or order a test.

There are two different types of tests diagnostic tests and antibody tests.

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Intake form for COVID-19 Coronavirus Testing