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VIRAL HEPATITIS B OR C CASE REPORT Acute Communicable Disease Control 313 N. Figueroa St., Rm. 212, Los Angeles, CA 90012 2132407941 (phone) 2134824856 (facsimile) www.lapublichealth.org/acd Patient
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How to fill out viral hepatitis B form:

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Start by gathering all the necessary information. You will need personal details such as name, date of birth, address, and contact information.
02
Next, provide medical history related to viral hepatitis B. This includes any previous diagnoses, treatments, medications taken, and dates of these occurrences.
03
Specify if you have experienced any symptoms related to viral hepatitis B, such as jaundice, fatigue, abdominal pain, or loss of appetite.
04
Indicate if you have been vaccinated against hepatitis B and provide details of the vaccination, including the dates and any booster shots received.
05
If you have had any hepatitis B tests done, include the results and dates of these tests. This includes blood tests to check for viral markers and liver function tests.
06
Mention any risk factors or potential exposure to viral hepatitis B, such as unprotected sex, sharing needles or syringes, or having a healthcare occupation.
07
If you have received any treatments for viral hepatitis B, provide information about the medications used, dates of treatment, and any side effects experienced.
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Finally, review the form for accuracy and completeness before submitting it. Double-check all the information provided to ensure it is correct.

Who needs viral hepatitis B form:

01
Individuals who have been diagnosed with viral hepatitis B may be required to fill out this form. This includes patients seeking medical treatment or monitoring for hepatitis B.
02
Healthcare professionals who are responsible for managing patients with viral hepatitis B may need to complete this form as part of their documentation and reporting requirements.
03
Public health authorities or organizations collecting data on viral hepatitis B may request individuals to fill out this form for epidemiological purposes and to track the spread of the disease.
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Viral hepatitis B is a liver infection caused by the hepatitis B virus.
Healthcare providers are required to file viral hepatitis B reports.
Viral hepatitis B reports can be filled out online or submitted through electronic health record systems.
The purpose of viral hepatitis B reports is to track and monitor cases of hepatitis B for public health purposes.
Information such as patient demographics, laboratory test results, and disease symptoms must be reported on viral hepatitis B reports.
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