Preventive ScreeningInitial Health AssessmentScreening Tool or Assessment FormAdults (18–64)Children and Youth (0–17)Older Adults (65+)RefugeesCoverage and Eligibility
Serology and Molecular Testing Requisition
Serology and Molecular Testing Requisition
Remember to fill out the Clinical History section.
Check off "Syphilis serology" for adults
Check off "Varicella zoster IgG" for patients >13 years old
Add "Schistosoma serology" under "Specify Other Serology and Molecular Tests" for patients from an endemic country.
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