Hepatitis Testing & Vaccination Card

Page 1


Stop B. Cure C.

Testing &Vaccination Appointments

Hello,

The bearer of this card is from a high-risk group for hepatitis B and/or hepatitisC. Requested tests:

HBsAg, antiHBs, anti-HBc ¨ anti-HCV, with option for HCV RNA test if ¨ anti-HCV returns positive.

If needed, please help the patient to record results and appointments on this card.

Hepatitis BTest Results

RESULTS

TEST

NEXT STEPS

Hepatitis B Immunisation Record

Dose 1

Date given: / /

Next Due: / /

Dose 2

Date given: / /

Next Due: / /

Dose 3

Date given: / /

Post Vaccination

Blood Test

Date given: / /

Result:

If you don't have hepatitis B, and don't have the antibodies, get vaccinated to stay hepatitis B free.

Ask your doctor for the vaccination or a referral to an immunisation centre. Scan theQR code to see if you are eligible for free vaccination.

HepatitisCTest Results

RESULTS

TEST

Anti-HCV

STEPS

Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.