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Delaware Confidential Morbidity Report Sexually Transmitted Diseases Patient Name (Last, First, MI) Sex SSN Age Phone Date of Birth M / Patient Address City State Zip F / Pregnant Yes No Unknown Prey
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What is delaware confidential morbidity report?
The Delaware Confidential Morbidity Report is a document used to report cases of certain contagious or infectious diseases in Delaware.
Who is required to file delaware confidential morbidity report?
Healthcare providers, hospitals, and laboratories in Delaware are required to file the Delaware Confidential Morbidity Report.
How to fill out delaware confidential morbidity report?
The Delaware Confidential Morbidity Report can be filled out online or submitted through fax. It requires information such as patient demographics, disease diagnosis, and laboratory test results.
What is the purpose of delaware confidential morbidity report?
The purpose of the Delaware Confidential Morbidity Report is to track and monitor the occurrence and spread of contagious or infectious diseases in Delaware, in order to control and prevent their further spread.
What information must be reported on delaware confidential morbidity report?
The Delaware Confidential Morbidity Report must include information such as patient demographics, disease diagnosis, laboratory test results, healthcare provider information, and the date of disease onset.
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