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Today's date: / / Day Month Year DENGUE CASE INVESTIGATION REPORT (HAITI TRAVEL) CDC Dengue Branch and Puerto Rico Department of Health 1324 Called Ca Ada, San Juan, P. R. 00920-3860 Tel. (787) 706-2399,
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How to fill out online dengue form

How to Fill Out Online Dengue Form:
01
Visit the official website or platform where the online dengue form is available.
02
Click on the link or button to access the form.
03
Fill in all the required personal information such as name, age, gender, and contact details.
04
Provide accurate information about your travel history, especially if you have recently visited dengue-prone areas.
05
Answer all the questions regarding your symptoms, such as fever, headache, body aches, and rash, if applicable.
06
Provide any additional information or details requested by the form, such as medical history or recent hospital visits.
07
Review all the information you have entered to ensure its accuracy and completeness.
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Submit the form by clicking on the "Submit" or "Send" button.
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Wait for a confirmation message or email acknowledging successful submission of the online dengue form.
Who Needs Online Dengue Form:
01
Individuals who are experiencing symptoms of dengue fever.
02
Individuals who have recently traveled to dengue-prone areas and want to report their travel history and symptoms.
03
Healthcare professionals or organizations responsible for monitoring and managing dengue cases.
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What is online dengue form?
Online dengue form is a digital form that allows individuals to report cases of dengue fever online, providing necessary information to health authorities.
Who is required to file online dengue form?
Individuals who have been diagnosed with dengue fever, healthcare professionals, and designated reporting entities are required to file online dengue form.
How to fill out online dengue form?
To fill out the online dengue form, individuals need to access the designated website, enter the required information such as personal details, symptoms, and medical history, and submit the form electronically.
What is the purpose of online dengue form?
The purpose of the online dengue form is to facilitate the efficient collection and reporting of dengue fever cases, enabling timely analysis, monitoring, and response by health authorities.
What information must be reported on online dengue form?
The required information to be reported on the online dengue form includes personal details, such as name, age, and contact information, symptoms experienced, medical history, and any relevant travel history.
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