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DEC Ebola Virus Disease (END) Evaluation Algorithm (9/16/14) (Algorithm subject to change, check DEC website periodically for updates) FEVER (101.5F) and/or compatible symptoms* for END in patient
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To fill out the DHEC Ebola Virus Disease form, follow these steps:

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Begin by downloading the DHEC Ebola Virus Disease form from the official website or obtain a physical copy from a healthcare facility.
02
Fill out the form accurately and comprehensively, providing all the requested information. This may include personal details such as name, contact information, and demographic information.
03
Next, provide a detailed medical history related to Ebola Virus Disease. This may include any past exposure to the virus, symptoms experienced, and any known contacts with infected individuals.
04
Include information about recent travels, particularly to regions or countries affected by Ebola outbreaks. This includes dates of travel, locations visited, and any known contacts or interactions during the trip.
05
Lastly, ensure that all sections requiring signatures and dates are completed appropriately. Sign and date the form where indicated to authenticate the information provided.

Who needs the DHEC Ebola Virus Disease form?

01
Individuals who have experienced symptoms suggestive of Ebola Virus Disease, such as fever, severe headache, muscle pain, weakness, vomiting, diarrhea, or abnormal bleeding, should fill out the form.
02
Individuals who have been exposed to known or suspected cases of Ebola Virus Disease, either through direct contact or travel to affected areas, should also complete the form.
03
Healthcare professionals and authorities responsible for monitoring and tracking Ebola cases may also require individuals to fill out the form as part of their surveillance and control efforts.
Remember, it is crucial to accurately and honestly complete the DHEC Ebola Virus Disease form as it helps in the timely identification, tracking, and control of potential Ebola cases.
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DHEC Ebola Virus Disease is a form that must be completed and filed by healthcare facilities reporting possible cases of Ebola virus.
Healthcare facilities are required to file DHEC Ebola Virus Disease form.
DHEC Ebola Virus Disease form can be filled out online or submitted via email or fax as per the instructions provided by the Department of Health.
The purpose of DHEC Ebola Virus Disease form is to report and track possible cases of Ebola virus for public health monitoring and response.
The DHEC Ebola Virus Disease form requires information such as patient demographics, symptoms, travel history, and potential exposures to the Ebola virus.
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