Georgia Department of Public Health COVID-19 Test Referral:
This test referral form is to identify if your patient meets the criteria for testing. Please answer the questions below. If your patient does not meet the criteria you will be given a notice. If they meet the criteria, you will be directed to complete the Specimen Point of Collection(SPOC) referral form. Once you fill out the referral form you will receive a PUI number for your patient. Please be sure and select the appropriate SPOC location for your patient. A list of facilities will be available on the referral form.
Testing for COVID-19 at the Georgia Department of Public Health COVID-19 Specimen Collection Pod is not approved for your patient at this time. Due to limited testing capacity we are only testing patients that meet certain clinical and exposure criteria, which are dynamic and changing frequently. We determined your patient did not meet the criteria, but may be a candidate for testing through a commercial laboratory if specimen collection can be done at another site. Emergency Departments should not be utilized for COVID-19 testing unless the patient is critically ill. Please proceed with routine care for the patient and follow current P P E guidelines. We recommend all sick patients stay home until symptoms resolve if they are not hospitalized.
Please contact 1-866-PUB-HLTH or firstname.lastname@example.org if you have any questions.
The DPH COVID-19 Response Team