Get the free Whatcom County Health Department Pertussis Case Report Form - co whatcom wa
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This document is used for reporting pertussis cases and collecting demographic information, symptoms, diagnostic assessments, and treatment details.
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How to fill out whatcom county health department
How to fill out Whatcom County Health Department Pertussis Case Report Form
01
Obtain the Pertussis Case Report Form from the Whatcom County Health Department website or office.
02
Ensure you have all necessary patient information, including full name, date of birth, and contact information.
03
Fill in the patient's symptoms, including the onset and duration of cough, any respiratory issues, and vaccination history.
04
Document any lab test results or diagnoses that support the suspicion of pertussis.
05
Provide details regarding the patient’s exposure history to any confirmed pertussis cases.
06
Complete the section for healthcare provider information, including the provider's name, contact details, and facility.
07
Review the form for accuracy and completeness, ensuring all sections are filled out.
08
Submit the completed case report form to the Whatcom County Health Department, either electronically or by mail as instructed.
Who needs Whatcom County Health Department Pertussis Case Report Form?
01
Healthcare providers who suspect a patient has pertussis.
02
Public health officials for tracking and managing pertussis outbreaks.
03
Patients diagnosed with pertussis or those who have been in close contact with a confirmed case.
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What is Whatcom County Health Department Pertussis Case Report Form?
The Whatcom County Health Department Pertussis Case Report Form is a document used to report cases of pertussis, or whooping cough, to public health authorities in Whatcom County.
Who is required to file Whatcom County Health Department Pertussis Case Report Form?
Healthcare providers, clinicians, and other medical professionals who diagnose or suspect a case of pertussis in a patient are required to file the Pertussis Case Report Form.
How to fill out Whatcom County Health Department Pertussis Case Report Form?
To fill out the Pertussis Case Report Form, healthcare providers should gather relevant patient information, including demographics, clinical symptoms, laboratory results, and vaccination history, and then accurately enter this information into the designated fields of the form.
What is the purpose of Whatcom County Health Department Pertussis Case Report Form?
The purpose of the Pertussis Case Report Form is to collect information about pertussis cases to monitor outbreaks, track disease trends, and implement public health interventions aimed at preventing further spread of the disease.
What information must be reported on Whatcom County Health Department Pertussis Case Report Form?
The information that must be reported includes patient name, date of birth, address, phone number, clinical symptoms, vaccination status, lab test results, and contact information of the reporting provider.
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