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Screening Form for H1N1 Influenza Testing 1. TESTING CRITERIA: *Testing is limited to patients who meet one of the criteria below. Testing Criteria PLEASE READ GUIDANCE and REFER TO THE CDC ALGORITHM
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How to fill out screening form for h1n1

How to fill out the screening form for h1n1:
01
Gather all necessary information: Before filling out the screening form for h1n1, make sure you have all relevant information handy. This may include personal details such as full name, age, contact information, and address.
02
Understand the questions: Familiarize yourself with the questions asked in the screening form. Read through each question carefully to ensure a correct and accurate response.
03
Provide truthful information: It is crucial to provide honest and accurate answers while filling out the screening form. Be transparent about your symptoms, travel history, and any potential contact with individuals who may have been infected with h1n1.
04
Follow instructions: Pay close attention to any specific instructions given in the form. Some questions may require you to select multiple options, provide additional details, or leave certain fields blank if the question does not apply to you.
05
Seek assistance if needed: If you have any questions or doubts while filling out the screening form for h1n1, do not hesitate to ask for assistance. Contact the relevant authorities or healthcare professionals who can guide you through the process.
Who needs the screening form for h1n1:
01
Individuals with symptoms: Anyone experiencing symptoms associated with h1n1, such as fever, cough, sore throat, body aches, fatigue, or respiratory issues, may need to fill out the screening form. This helps healthcare professionals assess the risk and determine if further testing or medical intervention is required.
02
Travelers: People who have recently traveled to regions or countries with known h1n1 outbreaks may be required to fill out the screening form. This is to ensure proper monitoring and prevention of the spread of the virus.
03
Close contacts: Individuals who have had close contact with someone diagnosed with h1n1 or suspected to have the virus may need to complete the screening form. This helps authorities track and prevent potential transmission within communities.
04
High-risk groups: Certain groups, such as pregnant women, young children, older adults, and individuals with underlying health conditions, may be more vulnerable to h1n1. As a result, they might be advised or required to fill out the screening form as a precautionary measure.
Remember, the screening form for h1n1 is designed to ensure public safety and effective response to the virus. It is essential to follow the given instructions, provide accurate information, and seek professional guidance when needed.
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What is screening form for h1n1?
The screening form for h1n1 is a document used to assess individuals for potential symptoms of the H1N1 virus.
Who is required to file screening form for h1n1?
It is typically required for individuals who may have been exposed to the H1N1 virus or are showing symptoms of the virus.
How to fill out screening form for h1n1?
To fill out the screening form for h1n1, you need to provide accurate and complete information about your symptoms, exposure history, and relevant personal details.
What is the purpose of screening form for h1n1?
The purpose of the screening form for h1n1 is to identify individuals who may require further testing or medical intervention to prevent the spread of the virus.
What information must be reported on screening form for h1n1?
The screening form for h1n1 typically requires information about symptoms, exposure history, travel details, and personal identification information.
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