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Long-Term Care (LTC) Respiratory Surveillance Line List
www.cdc.govMar 12, 2019 · In the space provided, record the type of specimen collected for laboratory testing. If the type of specimen collected is not listed, please use the space provided by “Other” to specify the specimen type. NP – nasopharyngeal swab, OP – oropharyngeal swab, S – sputum, U – urine, O – Other: Specify
POSITION DESCRIPTION (Please Read Instructions on the …
www.opm.gov*25. Type the description on plain bond paper and attach to the form. The agency position number should be shown on the attachment. See appropriate instructions for format of the description and for any requirements for evaluation documentation, e. g., "Instructions for the Factor Evaluation System," in the General
PLEASE PRINT OR TYPE SECTION 1. IDENTIFYING …
www.laworks.netPLEASE PRINT OR TYPE Last 4 Digits of Social Security Number: Date of Birth: Phone Number: Date of Injury: INFORMATION REQUIRED BY RULE TO BE INCLUDED WITH REQUEST FOR AUTHORIZATION - To Be Filled Out By Health Care Provider Email: SECTION 1. IDENTIFYING INFORMATION - To Be Filled Out By Health Care Provider SECTION 2.