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Human Infection with Novel Influenza A Virus Case Report Form Approved OMB No. 09200004 State: Date reported to health department: / / (MM/DD/YYY) Date interview completed: / / (MM/DD/YYY) State EPI

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What is novel flu a crf?

Novel flu a crf stands for novel influenza case report form.

Who is required to file novel flu a crf?

Healthcare facilities and providers are required to file novel flu a crf.

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Novel flu a crf can be filled out electronically or manually by providing all required information.

What is the purpose of novel flu a crf?

The purpose of novel flu a crf is to track and report cases of novel influenza for public health monitoring and response.

What information must be reported on novel flu a crf?

Information such as patient demographics, symptoms, test results, treatment provided, and possible sources of exposure must be reported on novel flu a crf.

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