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Government of the District of Columbia Department of Health Communicable Disease Report Form Center for Policy Planning and Evaluation Division of Epidemiology-Disease Surveillance Investigation DE-DSI Final Dx MMWR Wk MMWR Yr Investigation ID Patient ID Confirmed Probable Suspect Transfer Not a case THIS BOX FOR DC DOH USE ONLY NOTE This form should be used for all reportable conditions EXCEPT the following HIV Tuberculosis Hepatitis B C and STDs Clinical/Suspected Diagnosis Date Outcome...
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