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TORRANCE UNIFIED SCHOOL DISTRICT. Trap Requirement Form. Report of Pertussis Immunization to the School. Student Name (Please print): Last. First.
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How to fill out pertussis tusd report of
Point by Point Instructions on How to Fill out the Pertussis TUSD Report:
01
Begin by obtaining the necessary form: The Pertussis TUSD (Tusd Unified School District) Report can usually be obtained from the school's administration office or the health department. Ensure that you have the correct form before proceeding.
02
Start with personal information: The report will typically require you to provide personal details such as the student's name, date of birth, grade level, and contact information. Make sure to accurately fill in this information to avoid any confusion.
03
Specify the onset of symptoms: Indicate the exact date when the symptoms of pertussis (whooping cough) began in the designated section. This helps track the timing and spread of the illness.
04
Describe symptoms and medical diagnosis: In this section, provide a detailed account of the symptoms experienced by the student. Mention specific features such as coughing fits, post-cough vomiting, and difficulty breathing. Additionally, include any medical diagnosis or confirmation from a healthcare professional.
05
Include vaccination history: Record the student's immunization history in the designated area. This should include information on the dates of the pertussis vaccinations received, such as the DTaP (Diphtheria, Tetanus, and Pertussis) vaccine.
06
Note close contacts: Identify any individuals who have had close contact with the student during the contagious period of pertussis. These could include family members, friends, or schoolmates. Provide their names and contacts to facilitate necessary preventive measures.
07
Specify school attendance: State the dates when the student attended school while symptomatic. This information helps track potential exposure and allows the school to take appropriate actions.
08
Attach any supporting documents: If available, include any medical reports or laboratory test results that confirm the diagnosis of pertussis. This can strengthen the accuracy of the report and aid in the school's response.
09
Sign and date the form: Once all the required information has been filled in, ensure that you personally sign and date the report. This verifies that the information provided is accurate to the best of your knowledge.
Who needs the Pertussis TUSD Report?
The Pertussis TUSD Report is typically required by the school administration and the local health department. These reports help track and manage cases of pertussis within the school community, enabling timely interventions to prevent further transmission.
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What is pertussis TUSD report of?
Pertussis TUSD report is a report of pertussis cases within the TUSD district.
Who is required to file pertussis TUSD report of?
Healthcare providers and schools within the TUSD district are required to file pertussis TUSD report.
How to fill out pertussis TUSD report of?
Pertussis TUSD report can be filled out online through the TUSD district website or submitted via email or fax.
What is the purpose of pertussis TUSD report of?
The purpose of pertussis TUSD report is to track and monitor pertussis cases within the TUSD district for public health reasons.
What information must be reported on pertussis TUSD report of?
Information such as patient demographics, symptoms, date of diagnosis, and treatment details must be reported on pertussis TUSD report.
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