Mycobacteriology Client Services - National Jewish Health 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Patient Information' section. Enter the patient's name, date of birth, and medical record number. Ensure accuracy for proper identification.
3. Proceed to 'Billing Information'. This section is for institutional billing only; provide the account name, address, and client ID as required.
4. In 'Report Delivery Information', specify how you would like the report delivered. Include secure fax details if necessary.
5. Next, complete the 'Specimen Information' section. Indicate whether it's a raw specimen or culture medium and provide contact details of the submitter.
6. Select the appropriate 'Specimen Source' from the options provided, ensuring you choose accurately based on the sample type.
7. Fill out any relevant sections under 'Bacterial Cultures', 'Fungal Cultures', and other tests as applicable to your submission.
8. Finally, review all entries for completeness and accuracy before submitting your form through our platform.

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