Dh1628 2025

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  1. Click ‘Get Form’ to open the DH1628 Laboratory Request Form in the editor.
  2. Begin by filling out the Site-Specific Information. Ensure you enter the Permanent Barcode, Site Address, and Site Number accurately to link your specimen correctly.
  3. Complete the Demographic Information section. Use capital letters and ensure each field is filled out clearly, including client names, addresses, and contact numbers.
  4. Proceed to Testing History Questions. Ask clients about their previous HIV tests and record their responses accurately in the designated fields.
  5. Fill out the Antiretroviral History section if applicable. Record any medications taken by the client along with relevant dates.
  6. Complete Risk Factors by selecting all applicable behaviors that may increase HIV exposure risk for the client.
  7. If a rapid test is performed, complete that section only when necessary, ensuring all details are recorded as per instructions.
  8. Finally, review all entries for accuracy before saving or printing the form for submission.

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2013 4 Satisfied (48 Votes)
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