Fillable COVID-19 Laboratory Results Medical Provider Report of (County 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'Medical Provider Information' section. Enter your name, facility name, pager/phone number, email address, and the date of the report.
  3. Next, move to the 'Patient Information' section. Input the patient's full name, date of birth, gender identity, sex at birth, age, and sexual orientation. Ensure all fields are completed accurately.
  4. In the 'Clinical Information' section, indicate if the patient is symptomatic and provide any relevant medical record numbers and pre-existing conditions.
  5. Proceed to 'Laboratory Information'. Specify specimen type and test performed. Include collection date and vaccination status if applicable.
  6. Review all entries for accuracy before submitting. Once complete, send the form via fax or secure email as instructed.

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Low leukocyte and neutrophil counts are markers of COVID-19 infection, but contrastingly higher counts indicate progressive COVID-19. And although lymphocyte, D-dimer and CRP levels did not demonstrate diagnostic value, all indicate severity of COVID-19.
Molecular tests The lab technique used is called reverse transcription polymerase chain reaction, shortened to RT-PCR. You also may see this type of test called an NAAT test, short for nucleic acid amplification test. PCR tests are more accurate than the other type of COVID-19 test, called an antigen test.
The FDA encourages you to voluntarily and anonymously report your positive or negative test results every time you use an at-home COVID-19 test. You can send your test result to MakeMyTestCount.org or use an app or other digital option for self-reporting that may be included with your test.
Laboratory abnormalities commonly observed in hospitalized patients with COVID-19associated coagulopathy include: Mild thrombocytopenia; Increased D-dimer levels; Increased fibrin degradation products; and. Prolonged PT.
A blood test can show whether you have antibodies to the COVID-19 virus within days to weeks of having the infection or the vaccine. But antibody testing, also called serology testing, is not done routinely. A healthcare professional might use an antibody test to diagnose complications of COVID-19.

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As presented, increased levels of lactate dehydrogenase (LDH), alanine aminotransferase (ALT), aspartate aminotransferase (AST), and total bilirubin (Bili) and decreased levels of albumin are among the most common abnormal laboratory findings in COVID-19 patients.
Test data submitted to NHSN will be reported to appropriate state and local health departments using standard electronic laboratory messages. Other types of LTC facilities may also report testing data in NHSN for self-tracking or to fulfill state or local reporting requirements, if any.
If your doctor or other healthcare provider ordered the test you can also get your result from them. You should contact your healthcare provider directly if you have questions about your test result. COVID-19 test results are reported to public health authorities as required.

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