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Suspicious Rash Exclusion Form Date: Dear Parent/Guardian: Many rashes are not of the contagious variety but on first observation it is often difficult to determine this. Your child has a rash that
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The suspicious rash exclusion form is a document that gathers information about individuals who have developed a suspicious rash and need to be excluded from certain activities or environments to prevent the spread of contagious diseases.
The person responsible for reporting cases of suspicious rash and implementing safety measures is typically required to file the suspicious rash exclusion form. This can be a healthcare provider, school administration, employer, or other relevant authority.
To fill out the suspicious rash exclusion form, you need to provide details about the affected individual such as their name, date of birth, contact information, symptoms of the rash, date of onset, and any relevant medical history. Additionally, you may need to provide information about the activities or environments from which the individual should be excluded.
The purpose of the suspicious rash exclusion form is to identify and isolate individuals with contagious rashes to prevent the spread of infectious diseases within a community or workplace.
The suspicious rash exclusion form typically requires the reporting of the affected individual's name, date of birth, contact information, symptoms of the rash, date of onset, and any relevant medical history. It may also ask for information about potential exposures or activities that may have contributed to the rash.
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