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Plague Case Investigation (Form 1) Case Report # STATE Patient Information 1. DATE OF CASE INTERVIEW: Month 2. NAME OF PERSON FILING THIS CASE: Day Year TELEPHONE: Last: First: Area Code Number 3.
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What is plague case investigation form?
The plague case investigation form is a document that is used to collect information about cases of plague and help authorities investigate and monitor the disease.
Who is required to file plague case investigation form?
Medical professionals, laboratories, and other healthcare providers who encounter suspected or confirmed cases of plague are required to file the plague case investigation form.
How to fill out plague case investigation form?
The plague case investigation form typically requires the filer to provide details about the patient's symptoms, medical history, laboratory test results, and potential sources of exposure. The form can be filled electronically or in paper format following the provided instructions.
What is the purpose of plague case investigation form?
The purpose of the plague case investigation form is to collect standardized information about plague cases, identify any potential outbreaks or patterns, facilitate epidemiological investigations, and aid in public health response and prevention strategies.
What information must be reported on plague case investigation form?
The plague case investigation form typically requests information such as patient demographics, symptom onset, medical history, laboratory test results, potential sources of exposure, and travel history.
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