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Cedar Rapids Iowa online Form 5305-S: What You Should Know

Form 4453, Form 4454 or Form 4455, Form 4463-A, Form 4465 or Form 4450, Form 4464 or Form 4465 Dental Plans — State Hygienic Laboratory A completed plan document must be provided with your application for dental benefits. 127005 — CEDAR HEIGHTS PET CLINIC, 5305 UNIVERSITY AVE, CEDAR FALLS, IA HIV Documents — State Hygienic Laboratory HIV tests may be ordered from the State Hygienic Laboratory and then submitted to us. The HIV testing is an optional test and the results can be emailed to you. You will need to get a copy of your HIV test report. 70500 — CEDAR HEIGHTS PET CLINIC, 5305 UNIVERSITY AVE, CEDAR FALLS, IA Health and Wellness Information — State Hygienic Laboratory and Community Mental Health Program All information gathered during the screening process must be maintained on your health department or public health department employee's electronic health record. These documents serve to keep track of the following information:  Patient health history, Information submitted during pre-screening and  Procedures conducted, The results of the testing, The name of the person submitting the forms, and Any information the Health and Wellness Information System (HSP) receives during clinical review. HIV/AIDS — State Hygienic Laboratory and Community Mental Health Program You may not order laboratory test results for individuals who tested negative for HIV prior to the initial evaluation of their case under the Pre-Screening for HIV (PRO)/AIDS (PHA)/Prenatal Screening (PSP) Program. HIV Infections — State Hygienic Laboratory (Clinic) This information may only be obtained in the same location as your application.  HIV Testing Procedures — State Hygienic Laboratory (Clinic) The State Hygienic Laboratory (Clinic) cannot order HIV testing unless your health department sends it a copy of your health record, which must be received by the clinic within 90 days of the date the case was evaluated by HSP. An HIV testing kit is available for 14.00 with your test kit order. You fill out the order sheet.

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