Epstein-Barr Virus Antibody Profile
PATIENT INFO |
Patient Name: |
Medical Record #: |
BD: / / Sex: F M |
PHYSICIAN INFO |
Physician Name : |
Address: |
Ph: ( ) - Fax: ( ) - |
Additional Report to: |
Ph: ( ) - Fax: ( ) - |
TESTS REQUESTED | |
Test Name: | ICD9 Code: (required) |
1. Epstein-Barr Virus Antibody Profile | |
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SPECIMEN INFO |
Collection Date & Time: |
Collected By: |
Hospital: |
Specimens received in the Virology Laboratory before 1:00 PM will be run on the same day.
EBV IgM -
The method for qualitative determination of specific IgM to EBV viral capsid antigen (VCA).
EBNA IgG -
The method for qualitative determination of specific IgG to EBV nuclear antigen (EBNA).
VCA IgG -
The method for qualitative determination of specific IgG to EBV viral capsid antigen (VCA).