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Provide a report to local emergency rooms and those in surrounding communities for statistical analysis and distribution.. GASTROINTESTINAL ILLNESS QUESTIONNAIRE For use at medical aid posts during gatherings to be used in addition to any patient information intake form. Date / Officer assigned Name Address Phone number What symptoms have you had Diarrhea YES / NO Nausea Vomiting Abdominal cramps Headache Fever Blood in feces Joint or muscle aches Other When did the symptoms first start Date...
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What is gastrointestinal illness questionnaire?
The gastrointestinal illness questionnaire is a form used to gather information about symptoms, treatment, and potential sources of illness related to gastrointestinal issues.
Who is required to file gastrointestinal illness questionnaire?
Healthcare providers, hospitals, and other medical facilities are required to file gastrointestinal illness questionnaires.
How to fill out gastrointestinal illness questionnaire?
The questionnaire can be filled out by providing accurate information about symptoms, treatment, and possible sources of illness.
What is the purpose of gastrointestinal illness questionnaire?
The purpose of the questionnaire is to track and investigate cases of gastrointestinal illness to prevent outbreaks and protect public health.
What information must be reported on gastrointestinal illness questionnaire?
Information such as symptoms, treatment received, possible sources of illness, and demographic information of the affected individual must be reported on the questionnaire.
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