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CEP #: Date form completed: / / Encephalitis Case History Form (Do not fill out West Nile case history form if this form is completed) Case patients must be hospitalized with encephalopathy (depressed
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Begin by entering the current date in the designated space. This ensures that the form is filled out accurately and up-to-date.
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Specify the purpose of the form and any relevant reference numbers, if applicable. This helps in organizing and processing the form efficiently.
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Date form completed refers to the date when a specific form or document is filled out and finalized.
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Date form completed can be filled out by entering the relevant information in the designated fields and signing and dating the form.
The purpose of date form completed is to provide a record of when a document or form was finalized and submitted.
The information that must be reported on date form completed depends on the specific form or document being completed.
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