Get the free Influenza Surveillance Specimen Submission & Results Form
Show details
This form is used for the submission of influenza surveillance specimens and to record the associated patient and specimen details. It includes sections for patient information, facility information,
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign influenza surveillance specimen submission
Edit your influenza surveillance specimen submission form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your influenza surveillance specimen submission form via URL. You can also download, print, or export forms to your preferred cloud storage service.
How to edit influenza surveillance specimen submission online
Follow the steps below to take advantage of the professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit influenza surveillance specimen submission. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
It's easier to work with documents with pdfFiller than you could have believed. Sign up for a free account to view.
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out influenza surveillance specimen submission
How to fill out Influenza Surveillance Specimen Submission & Results Form
01
Obtain the Influenza Surveillance Specimen Submission & Results Form from the designated health authority or online.
02
Fill in the 'Patient Information' section with the patient's name, age, gender, and other relevant details.
03
Provide the 'Specimen Information' by indicating the type of specimen collected (e.g., nasal swab, throat swab).
04
Specify the date of specimen collection and any relevant clinical information in the designated sections.
05
Include information about the healthcare provider submitting the form, including name, contact information, and facility details.
06
Ensure all mandatory fields are completed before submission.
07
Review the completed form for any errors or omissions.
08
Submit the form along with the specimen to the designated laboratory for testing.
Who needs Influenza Surveillance Specimen Submission & Results Form?
01
Healthcare providers who suspect influenza infection in patients.
02
Laboratories conducting influenza testing.
03
Public health officials monitoring influenza activity.
04
Research facilities studying influenza epidemiology.
Fill
form
: Try Risk Free
People Also Ask about
What is influenza surveillance?
Influenza surveillance involves collection of both clinical and virological data. Clinical surveillance monitors the impact of the illness on the health service and the community, while virological surveillance confirms that influenza is circulating and also identifies the current strain.
Which goal is an aim of virologic surveillance?
Routine virologic surveillance allows situational awareness and novel influenza virus and antiviral resistance detection. It also provides specimens and viruses to CDC for annual vaccine virus selection.
What is meant by disease surveillance?
Disease surveillance is an ongoing process that involves the systematic collection, analysis, interpretation, and dissemination of information regarding the occurrence of diseases in defined populations for public health action to reduce morbidity and mortality.
How do you collect influenza samples?
A nasopharyngeal (NP) swab is the optimal upper respiratory tract specimen collection method for influenza testing. However, such specimens cannot be collected from infants and many older patients may not allow an NP specimen to be collected.
What is flu surveillance?
Influenza surveillance is the collection, compilation and analysis of information on influenza activity in a defined population.
What is CDC laboratory support for influenza surveillance clsis SharePoint site?
The CDC Laboratory Support for Influenza Surveillance (CLSIS) SharePoint Site is intended to facilitate technical support for domestic U.S. and international public health and research institutions performing influenza laboratory surveillance and/or research.
What is the CDC flu surveillance system?
The California influenza surveillance system is a collaborative effort between CDPH and its many partners at local health departments, public health and clinical laboratories, vital statistics offices, healthcare providers, clinics, emergency departments, and the Centers for Disease Control and Prevention (CDC).
How many countries have an influenza surveillance system?
GISRS currently comprises institutions in 130 WHO Member States. FluNet is a global database of virologic surveillance for respiratory viruses conducted and reported through GISRS.
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
What is Influenza Surveillance Specimen Submission & Results Form?
The Influenza Surveillance Specimen Submission & Results Form is a standardized document used to collect and document information regarding samples submitted for influenza surveillance, monitoring, and research purposes.
Who is required to file Influenza Surveillance Specimen Submission & Results Form?
Health care providers, laboratories, and institutions involved in collecting and submitting influenza specimens for surveillance purposes are required to file this form.
How to fill out Influenza Surveillance Specimen Submission & Results Form?
To fill out the form, follow the instructions provided, ensuring to accurately complete all required sections, including patient demographics, clinical information, specimen details, and submitter information.
What is the purpose of Influenza Surveillance Specimen Submission & Results Form?
The purpose of the form is to gather essential data on influenza cases and the virus's characteristics to aid in public health monitoring, research, and response strategies.
What information must be reported on Influenza Surveillance Specimen Submission & Results Form?
The form must report information such as patient demographics (age, sex), clinical symptoms, specimen type, collection date, geographical location, and any laboratory results associated with the submitted specimens.
Fill out your influenza surveillance specimen submission online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.
Influenza Surveillance Specimen Submission is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.
