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This document is used to demonstrate the qualifications of individuals seeking to qualify as a Forensic Alcohol Supervisor, Forensic Alcohol Analyst, or Forensic Alcohol Analyst Trainee in compliance
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How to fill out CDPH 8672

01
Begin by downloading the CDPH 8672 form from the official California Department of Public Health website.
02
Fill in the section at the top of the form with your personal information, including your name and contact details.
03
Provide the name of the facility or organization that the report pertains to.
04
Complete the relevant fields regarding the type of service or activity being reported.
05
Ensure that you include specific details requested in each section, like dates, involved parties, and any pertinent descriptions.
06
Verify all information for accuracy before submission.
07
Sign and date the form at the bottom to certify the information provided is correct.
08
Submit the completed form to the appropriate department or agency as indicated on the form.

Who needs CDPH 8672?

01
Individuals or organizations that are involved in public health activities or services in California and require reporting of specific data.
02
Healthcare providers, laboratories, or facilities needing to report particular health-related events or incidents as mandated by the CDPH.
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CDPH 8672 is a form used by healthcare providers in California to report certain communicable diseases to the California Department of Public Health.
Healthcare providers, clinical laboratories, and others who diagnose or treat diseases that are required to be reported under California law must file CDPH 8672.
To fill out CDPH 8672, you must provide patient information, details about the diagnosis, and any relevant epidemiological information as required by the form instructions.
The purpose of CDPH 8672 is to help monitor the incidence and prevalence of communicable diseases in California, facilitating public health surveillance and response.
Information that must be reported on CDPH 8672 includes patient demographics, disease identification, date of illness onset, and laboratory results, among other pertinent details.
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