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State of CaliforniaHealth and Human Services Agency California Department of Public Health CONFIDENTIAL MORBIDITY REPORT PLEASE NOTE: Only use this form for reporting Tuberculosis. DISEASE BEING REPORTED
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Please note only use is a form or statement that notifies the recipient to solely use the information for the intended purpose.
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Any individual or organization who wishes to protect confidential information or restrict its use may include a please note only use statement.
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To fill out a please note only use statement, simply include the phrase 'Please note: For intended use only' or a similar message at the beginning or end of the document.
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The purpose of a please note only use statement is to communicate to the recipient the intended use of the information and to prevent unauthorized or inappropriate use.
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The please note only use statement typically does not require specific information to be reported, but simply informs the recipient of the intended use of the information.
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