Get the free cryptosporidiosis case investigation form - Colorado.gov

Upload form to CEDRS if requested by CDPHE e.g. as part of a suspected outbreak or if part of your agency s protocol.. Colorado Department of Public Health and Environment Communicable Disease Branch 4300 Cherry Creek Dr S Denver CO 80246 Phone 303-692-2700 Fax 303-782-0338 CRYPTOSPORIDIOSIS CASE INVESTIGATION FORM Use this form to interview all cases of cryptosporidiosis Patient Name Age Circle Yrs. Mos. Cramps U Med name Outcome/Hospitalization Outcome Survived Died Unk If died date of...

How to fill out cryptosporidiosis case investigation form

How to fill out cryptosporidiosis case investigation form

1. Open the cryptosporidiosis case investigation form.
2. Start by filling out the patient's personal information such as name, age, and contact details.
3. Provide information about the onset of symptoms and the date of diagnosis.
4. Specify the healthcare facility or laboratory where the diagnosis was made.
5. Fill in details about any recent travel history, including countries visited and activities undertaken.
6. Include information about potential sources of infection, such as exposure to contaminated water or food.
7. Provide details about any other individuals who may have been exposed to the patient and their contact information.
8. Include information about any treatment received by the patient and its effectiveness.
9. Submit the completed form to the appropriate authority for further investigation and monitoring.

Who needs cryptosporidiosis case investigation form?

1. Healthcare professionals conducting investigations into cryptosporidiosis cases.
2. Public health departments responsible for monitoring and controlling the spread of cryptosporidiosis.
3. Researchers studying the epidemiology and risk factors associated with cryptosporidiosis.
4. Any individual or organization involved in public health surveillance and response activities.

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What is cryptosporidiosis case investigation form?

The cryptosporidiosis case investigation form is a document used to gather information about cases of cryptosporidiosis in order to track and control the spread of the disease.

Who is required to file cryptosporidiosis case investigation form?

Healthcare providers, laboratories, and public health departments are required to file cryptosporidiosis case investigation forms.

How to fill out cryptosporidiosis case investigation form?

The form typically requires information such as symptoms, travel history, contacts, and test results related to the case of cryptosporidiosis.

What is the purpose of cryptosporidiosis case investigation form?

The purpose of the form is to collect important data to understand and prevent the spread of cryptosporidiosis.

What information must be reported on cryptosporidiosis case investigation form?

Information about symptoms, travel history, contacts, and test results related to the case of cryptosporidiosis must be reported on the form.