How to use or fill out SUPPLIES REQUEST FORM Winnipeg MB R3C 3Y1 (PLEASE FAX ONLY)
- Begin by clicking ‘Get Form’ to open the SUPPLIES REQUEST FORM in our editor.
- Fill in the 'Patient Information' section clearly, including the patient's legal name, date of birth, and sex. Ensure all mandatory fields are completed for processing.
- In the 'Relevant Clinical Information' section, provide details such as outbreak code and reason for the test. Select from the options provided or specify any other relevant information.
- Complete the 'Specimen Information' section by indicating the specimen type and source. Be precise to avoid any delays in processing.
- Review all entered information for accuracy before finalizing your form. Once satisfied, save your changes.
- Finally, fax the completed form using a secure fax machine to ensure confidentiality and compliance with submission guidelines.
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