Form preview

Get the free Contact Investigation (CI) Record - health utah

Get Form
This document provides detailed instructions for case managers on how to complete the Contact Investigation Record for tuberculosis (TB) cases. It outlines the steps for documenting various aspects
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign contact investigation ci record

Edit
Edit your contact investigation ci record form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your contact investigation ci record form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing contact investigation ci record online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Log in to your account. Start Free Trial and sign up a profile if you don't have one yet.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit contact investigation ci record. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out contact investigation ci record

Illustration

How to fill out Contact Investigation (CI) Record

01
Begin with the date and the name of the person being investigated.
02
Fill in the contact information of the person.
03
List all known contacts of the individual, including names and phone numbers.
04
Document the date of last contact with each individual.
05
Include details on the nature of contact (e.g., close, casual).
06
Note any symptoms or health status of the individual being investigated.
07
Specify the outcomes of the investigation, such as follow-up required.
08
Sign and date the CI Record for verification.

Who needs Contact Investigation (CI) Record?

01
Individuals who are suspected of having a contagious disease.
02
Public health officials for tracking and managing outbreaks.
03
Healthcare providers for patient follow-up and care.
04
Emergency response teams for effective communication.
05
Epidemiologists analyzing the spread of diseases.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
27 Votes

People Also Ask about

Contact investigation is a key strategy employed by the New York City (NYC) Bureau of Tuberculosis Control (BTBC) to identify individuals recently exposed to patients with infectious tuberculosis (TB) disease (contacts). Contacts are more likely to develop active TB disease than any other risk group.
First the contact persons are screened for TB, preferably using both symptoms and Chest X-ray. If found to be presumptive TB, they are referred for TB Diagnostic testing. If found to be negative on screening or if TB has been ruled out after diagnostic testing, the contacts become eligible for TB Preventive Therapy.
Symptomatic contacts should be evaluated as for any person suspected of having TB. Contacts with cough should submit sputum specimens for microscopy, as recommended for suspected cases of TB. Contacts with negative sputum smears should be evaluated ing to the guidelines for smear-negative TB (3).
The primary objective of TB contact investigation is to identify people who have been exposed to infectious TB disease to ensure they receive appropriate screening, and when indicated, treatment for TB disease or latent TB infection (LTBI).
Among individuals younger than 15 years who are close contacts of someone with TB, systematic screening for TB disease should be conducted using a symptom screen including any one of cough, fever or poor weight gain; or chest radiography; or both.
Blood tests A sample of blood is sent to a lab. One lab test finds out whether certain immune system cells can "recognize" tuberculosis. A positive test shows that you have either a latent TB infection or active TB disease. Other tests of the blood sample can help determine if you have active disease.
Why are tuberculosis (TB) precautions important? Mycobacterium tuberculosis is transmitted in airborne particles called droplet nuclei that are expelled when persons with pulmonary or laryngeal TB cough, sneeze, shout, or sing.
The goals of a contact investigation are to successfully stop TB transmission and prevent future cases and outbreaks of TB disease. It is important to remember that every TB case started as a TB contact.
Household contact is a person who shared the same enclosed living space as the index TB patient for one or more nights or for frequent or extended daytime periods during the three months before the start of current TB treatment.
Among individuals aged 15 years and older in populations in which TB screening is recommended, systematic screening for TB disease may be conducted using a symptom screen, chest X-ray or molecular WHO-recommended rapid diagnostic tests, alone or in combination.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Contact Investigation (CI) Record is a document used to track and manage the identification, documentation, and follow-up of individuals who have been in close contact with someone diagnosed with a communicable disease.
Health care professionals, epidemiologists, and public health officials are typically required to file Contact Investigation (CI) Records as part of disease control and prevention efforts.
To fill out a Contact Investigation (CI) Record, one must provide details such as the patient's information, dates of exposure, contact person's details, and any follow-up actions taken.
The purpose of the Contact Investigation (CI) Record is to document the exposure to infectious diseases, ensure timely follow-up, and facilitate appropriate public health responses to prevent further transmission.
The information that must be reported includes contact details of the infected individual, names and contact information of contacts, dates of exposure, symptoms, and any preventive measures taken.
Fill out your contact investigation ci record online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.