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Click ‘Get Form’ to open it in the editor.
Begin by entering the Specimen ID at the top of the form. This unique identifier is crucial for tracking the sample.
Fill in the Company Information section, including Company Name, Address, Phone, and Fax. Ensure all details are accurate for proper documentation.
In the Donor Information section, input the Donor Name and SSN or ID#. This information is essential for identifying the individual being tested.
Complete the Test Information section by selecting the Reason for Test and filling in Date and Time of Collection. Also, indicate if the temperature was within range and specify Specimen Type.
Both donor and collector must sign and date in the Certification and Consent section to validate the test process.
For photocopying results, follow instructions provided on cutting out that section and placing it face down on a copier.

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