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COVID-19 REQUISITION FORMCOVID19 INFECTION TESTINGPATIENT INFORMATION It is VERY IMPORTANT to write down your contact information for communication of your test result. Telephone #:Email:Last Name:First
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You will have to enter your phone number for verification. You MUST complete the COVID-19 questionnaires and provide the requested information before receiving the results. Any questions or concerns in this situation... you can contact the Medical Exam Center directly. If your test result is not mailed to you until after the time listed on the confirmation page, do not give up! Keep trying. If you're not able to obtain the test results within two weeks, you will receive a copy of those results via e-mail. I want to learn more about my health problem in person. What would make you more confident in your COVID-19 and health care information? When you visit the Medical Practitioner of your choice or your State, do they take your COVID-19? Do they tell you what the COVID-19 means and the purpose of the COVID-19? Do they follow your answer carefully, and correct you if needed? For the complete results of your test, and for information about our COVID-19 testing program and clinical testing, please call COVID-19 at, or you may visit our website at If you are interested in learning more about the importance of health and disease testing, and how COVID-19 can help you improve your health, please contact: CAMBRIDGE: Dr. Robert L. Began DRS. Charles M. Shiver, Jr., MD Phone: Fax: e-mail: Robert.elganpartners.org Boston: Dr. Jeffrey E. Gaffe, M.D., M.P.H. Boston Medical Center, Dept. of Emergency Medicine Phone: fax: e-mail: Jeffrey.jaffepartners.org Newton: Dr. Gary H. Gartner, M.D., M.P.H. P.O.
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