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FOODBORNE ILLNESS INVESTIGATION FORM DEMOGRAPHICS Name: Address: Phone Numbers: Home: Work: Cell: Date of Birth: Sex: Male /// Female (Circle One) Occupation: Race: (Circle One) White // Black //
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What is salmonellashigella investigation form?
The salmonellashigella investigation form is a document used to gather information about cases of Salmonella and Shigella infections.
Who is required to file salmonellashigella investigation form?
Healthcare providers, laboratories, and public health agencies are required to file the salmonellashigella investigation form.
How to fill out salmonellashigella investigation form?
The salmonellashigella investigation form can be filled out by providing the required information such as patient demographics, symptoms, laboratory test results, and possible sources of infection.
What is the purpose of salmonellashigella investigation form?
The purpose of the salmonellashigella investigation form is to track and investigate cases of Salmonella and Shigella infections in order to identify potential outbreaks and implement appropriate public health measures.
What information must be reported on salmonellashigella investigation form?
The salmonellashigella investigation form requires information such as patient demographics, symptoms, laboratory test results, dates of illness onset, possible sources of infection, and relevant contact information.
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