Report Forms
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These report forms may be printed and used to submit results to CMPT via faxing completed forms to FAX: 604-875-4100.

Each form (except the Paper Challenge form) has a designated number that is printed at the top of the form on the left side next to the CMPT logo. Forms are numbered as follows: CMPT form number 01 - 05/version e.g. A, B, C and so on/month and/year created or revised. If a form is revised the version letter, month, and year will be changed to note the revision. For example, the Gram Smear Report form was initially numbered CMPT01/A/09/2002, but revisions to this form were made in October 2009 and the new number became CMPT01/F/10/2009.   

Forms in require the Acrobat Reader (free from Adobe). Click the printer icon on the Acrobat Reader task bar to print the page. Use links from Print from Screen if you do not want to print a pdf format copy.

Clinical Bacteriology Program Report Forms

Form Number 1-page format Print from Screen  
(These forms may not print as a single page - depends on the web browser.)
CMPT01/F/10/2009
- revised 30 Oct 2009		 Gram Smear Report Gram Smear Report
CMPT02/E/10/2009
- revised 30 Oct 2009		 Antimicrobial Susceptibility Testing  Antimicrobial Susceptibility Testing 
CMPT03/H/10/2009
- revised 30 Oct 2009		 Specimen and Microbial Identification Specimen and Microbial Identification
CMPT04/G/10/2009
- revised 30 Oct 2009		 Clinical Relevancy Results  Clinical Relevancy Results 
CMPT05/G/10/2009
- revised 30 Oct 2009		 Urine Urine
CMPT06/C/02/2010
-revised 4 Feb 2010		 Clostridium difficile Toxin Clostridium difficile Toxin
 

Mycology Program Report Forms:

Form Number 1 or 2 page - format Print from Screen  
(These forms may not print as a single page - depends on the web browser.)
Myco01/B/07/2004 Mycology Report Form Mycology Report Form
Mycology Susceptibility Testing Report Form Mycology Susceptibility Testing Report Form Mycology Susceptibility Testing Report Form
 
Water Microbiology Program Report Forms:
Form Name pdf format
On-line Instructions On-line Instructions 1-p
Drinking Water Report Form Report Form Drinking Water 1-p
Recreational Water Report Form Report Form Recreational Water -1p
 
top Revisions: 4 February 2010