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Report Status check one Preliminary Final VIRAL HEMORRHAGIC FEVER CASE REPORT Check one Ebola Lassa Lujo Marburg Crimean-Congo hemorrhagic fever New World arenavirus Guanarito Junin Machupo Sabia viruses Other Jurisdictions participating in CalREDIE should create a CalREDIE incident and upload the completed form to the Electronic Filing Cabinet. ER / Hospital Name 1 Street Address Admit Date mm/dd/yyyy City Discharge / Transfer Date mm/dd/yyyy Discharge Diagnosis OUTCOME Outcome Survived...
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