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This document is used to gather basic demographic, clinical, epidemiologic, and administrative information related to the investigation of hepatitis B cases.
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How to fill out hepatitis b investigation form

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How to fill out HEPATITIS B INVESTIGATION FORM

01
Obtain a copy of the Hepatitis B Investigation Form from your healthcare provider.
02
Fill in the personal information section, including your name, date of birth, and contact details.
03
Provide details about your medical history relevant to hepatitis B.
04
List any symptoms you are experiencing or have experienced related to hepatitis.
05
Indicate any known exposure to hepatitis B, including dates and locations if applicable.
06
Fill out the section regarding vaccination history for hepatitis B.
07
Review the completed form for accuracy and completeness.
08
Submit the form to the designated healthcare provider or facility as instructed.

Who needs HEPATITIS B INVESTIGATION FORM?

01
Individuals who have been diagnosed with hepatitis B.
02
Persons exhibiting symptoms of hepatitis B infection.
03
People who have had potential exposure to hepatitis B virus.
04
Healthcare professionals requiring documentation for public health records.
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The “Hepatitis B Panel” of Blood Tests* HBsAg (Hepatitis B surface antigen) - A "positive" or "reactive" HBsAg test result indicates that a person is infected with hepatitis B. This test can detect the presence of the hepatitis B virus (called the “surface antigen”) in the blood.
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The “Hepatitis B Panel” of Blood Tests* HBsAg (Hepatitis B surface antigen) - A "positive" or "reactive" HBsAg test result indicates that a person is infected with hepatitis B. This test can detect the presence of the hepatitis B virus (called the “surface antigen”) in the blood.

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The HEPATITIS B INVESTIGATION FORM is a document used to collect information about cases of hepatitis B infection for public health monitoring and response.
Health care providers, laboratories, and public health officials who diagnose or identify cases of hepatitis B must file the HEPATITIS B INVESTIGATION FORM.
To fill out the HEPATITIS B INVESTIGATION FORM, provide patient information, clinical details, test results, and any relevant epidemiological data as required by the form's guidelines.
The purpose of the HEPATITIS B INVESTIGATION FORM is to facilitate the tracking and control of hepatitis B infections and to inform public health interventions.
The information required includes patient identifiers, clinical symptoms, laboratory results, vaccination history, risk factors, and any related contacts.
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