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This document serves as an agreement between local health departments and the North Carolina DHHS for using the Electronic Disease Surveillance System for data gathering, training, and compliance
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How to fill out agreement for local health

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How to fill out Agreement for Local Health Department Participation in the North Carolina Electronic Disease Surveillance System (NC EDSS)

01
Obtain a copy of the Agreement for Local Health Department Participation in NC EDSS from the official website or contact the NC Department of Health.
02
Read through the agreement carefully to understand the roles and responsibilities outlined.
03
Fill in the required information, including the name of the local health department, contact information, and any other requested details.
04
Include any necessary documentation or attachments as specified in the agreement.
05
Review the completed agreement for accuracy and completeness.
06
Obtain signatures from authorized representatives of the local health department.
07
Submit the signed agreement to the designated contact at the NC Department of Health as instructed.

Who needs Agreement for Local Health Department Participation in the North Carolina Electronic Disease Surveillance System (NC EDSS)?

01
Local health departments in North Carolina that participate in the NC Electronic Disease Surveillance System.
02
Health department staff responsible for disease surveillance and reporting.
03
Administrative personnel overseeing compliance and participation agreements.
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The Agreement for Local Health Department Participation in the North Carolina Electronic Disease Surveillance System (NC EDSS) is a formal document that outlines the roles, responsibilities, and expectations of local health departments regarding the use of the electronic system for disease surveillance and reporting in North Carolina.
All local health departments in North Carolina that wish to participate in the NC EDSS are required to file the Agreement.
To fill out the Agreement, local health departments must provide accurate organizational information, designate authorized representatives, and outline their commitments to the reporting and data-sharing processes as specified in the guidelines provided by the NC EDSS.
The purpose of the Agreement is to establish a clear framework for cooperation and compliance among local health departments in the reporting and management of disease data, ensuring effective public health surveillance and response efforts.
The Agreement must include details such as the local health department's contact information, the names of authorized personnel, a description of how data will be collected and submitted, and an acknowledgment of adherence to privacy and security measures.
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