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Lyme Disease Case Investigation NBS Patient ID: PLEASE PRINT LEGIBLYPatient Information Last Name: Date of Birth: / / First Name: Age: Sex:Street Address: Patient Phone: Race:Asian Black or African
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How to fill out lyme disease case investigation

01
To fill out a Lyme disease case investigation form, follow these steps:
02
Obtain the case investigation form from the appropriate health department or agency.
03
Provide the necessary information about the patient, such as their name, age, and contact information.
04
Fill out details about the patient's medical history, such as any previous diagnoses or treatments related to Lyme disease.
05
Answer questions about the onset and duration of symptoms experienced by the patient.
06
Provide information about the potential exposure to tick bites or areas where the patient may have been at risk for contracting Lyme disease.
07
Include any laboratory test results or diagnostic procedures related to Lyme disease.
08
Provide information about any potential co-infections or other tick-borne diseases.
09
Include details about any ongoing treatment and medications being prescribed for the patient.
10
Submit the completed case investigation form to the appropriate health department or agency.

Who needs lyme disease case investigation?

01
Lyme disease case investigation is needed for individuals who have been diagnosed with or suspected of having Lyme disease.
02
Healthcare professionals, including doctors, nurses, and public health officials, may initiate a case investigation to gather information about the patient's symptoms, medical history, and potential exposures.
03
The investigation helps in understanding the prevalence and patterns of Lyme disease, identifying possible sources of infection, and implementing appropriate public health measures to prevent further transmission.
04
People who have been in close contact with individuals diagnosed with Lyme disease may also undergo case investigation to assess their risk of infection and provide necessary preventive measures.
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Lyme disease case investigation is a process of collecting and analyzing information relevant to confirmed or suspected cases of Lyme disease in order to better understand the disease transmission and prevent further spread.
Healthcare providers, laboratory personnel, and public health agencies are required to file Lyme disease case investigation reports.
Fill out the Lyme disease case investigation form provided by the public health agency, including information such as patient demographics, symptoms, laboratory test results, and potential exposure to ticks.
The purpose of Lyme disease case investigation is to monitor the spread of the disease, identify trends, and implement preventive measures to protect public health.
Information such as patient demographics, symptoms, laboratory test results, tick exposure history, and treatment information must be reported on Lyme disease case investigation forms.
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