This is a legal form that was released by the Mississippi Department of Health - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is form 416?
A: Form 416 is the Mycobacteriology Culture Request form.
Q: What is Mycobacteriology culture?
A: Mycobacteriology culture is a laboratory test used to detect and identify mycobacteria, including the bacteria that cause tuberculosis (TB).
Q: Who can request a Mycobacteriology culture?
A: Healthcare providers, such as doctors, nurse practitioners, and physician assistants, can request a Mycobacteriology culture.
Q: When should I use Form 416?
A: Form 416 should be used when requesting a Mycobacteriology culture test for a patient.
Q: What information is required on Form 416?
A: Form 416 requires information about the patient, including their name, date of birth, and contact information, as well as information about the requesting healthcare provider.
Q: How do I submit Form 416?
A: Form 416 can be submitted to the Mississippi State Department of Health or to an approved laboratory that performs Mycobacteriology culture testing.
Q: How long does it take to get the results of a Mycobacteriology culture?
A: The time it takes to get the results of a Mycobacteriology culture can vary, but it is typically several weeks.
Q: What do the results of a Mycobacteriology culture test mean?
A: The results of a Mycobacteriology culture test can indicate the presence or absence of mycobacteria, as well as the specific type of mycobacteria present, which can help with diagnosis and treatment.
Q: Is there a fee for the Mycobacteriology culture test?
A: Yes, there is typically a fee associated with the Mycobacteriology culture test. The specific fee may vary depending on the laboratory or healthcare facility.
Form Details:
Download a printable version of Form 416 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.