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Contact Us - National Jewish Health 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the 'Patient Information' section. Enter the patient's name, select their gender, and provide their date of birth along with the medical record number.
- Proceed to the 'Billing Information' section. This is for institutional billing only; ensure you have all necessary details ready.
- In the 'Report Delivery Information' section, input the account name, address, city, state, and zip code. If a duplicate report is requested, check the appropriate box.
- Complete the 'Specimen Information' section by selecting whether it's a raw specimen or culture medium and providing submitter details including phone and fax numbers.
- Fill out the 'Specimen Source' by selecting from various options such as blood or urine. Ensure to specify any other sources if applicable.
- Continue through sections for bacterial cultures, fungal cultures, direct exams, rapid SA/MRSA testing, and any special instructions as needed.
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