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Click ‘Get Form’ to open it in the editor.
Begin by filling in the 'Recipient Details' section. Enter the surname, first names, telephone numbers, date of birth, occupation, and company name of the injured person.
In the 'Incident Details' section, provide the date and time of the incident along with a detailed description of what occurred.
Complete the 'Source Details' if known. This includes entering information about the source individual such as their name, contact details, and consent for testing.
Review all sections for accuracy. Ensure that consent signatures are obtained where necessary before submitting.
Once completed, save your form and send it along with any required blood samples to Canterbury Southern Community Laboratories within 24 hours.
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