Get the free Reportable communicable disease notification form - Timiskaming ...

Mail or fax to: Medical Officer of Health 247 White wood Avenue, Unit 43 P.O. Box 1090 New Listened, ON P0J 1P0 pH: 705-647-4305 or 1-866-747-4305 Confidential Fax: 705-648-6305 REPORTABLE COMMUNICABLE

How to fill out reportable communicable disease notification

How to fill out reportable communicable disease notification:

1. Obtain the necessary form: Start by acquiring the reportable communicable disease notification form from the relevant health department or agency. This form may be available online or you may need to request it in person or by mail.
2. Gather relevant information: Before filling out the form, gather all the necessary information that may be required. This includes the name, contact details, and demographics of the person affected by the disease. Additionally, collect details about the disease itself, such as its name, symptoms, date of diagnosis, and any relevant laboratory test results.
3. Provide personal details: Begin by filling out the personal details section of the form. This typically includes the affected person's name, address, phone number, date of birth, and gender. Double-check the accuracy of the information before proceeding.
4. Specify the disease: In the next section of the form, provide the details of the disease that needs to be reported. Write down the name of the disease, the date of diagnosis, and any other relevant information that can help identify and track the disease.
5. Describe symptoms and treatment: Include a section on the form where you can describe the symptoms experienced by the affected person. Additionally, note down any treatments or medications prescribed for the disease.
6. Include laboratory test results: If the person affected has undergone any laboratory tests related to the disease, ensure you include the results in the form. This can help in the identification and confirmation of the disease.
7. Sign and submit: Once you have filled out all the necessary sections of the form, review it for accuracy and completeness. Finally, sign the form and submit it to the designated health department or agency through the preferred method of submission (e.g., online, mail, in-person).

Who needs reportable communicable disease notification:

1. Healthcare professionals: Doctors, nurses, and other healthcare professionals who have diagnosed or treated a patient with a reportable communicable disease are required to provide the necessary notification.
2. Laboratories: Any laboratory that performs tests related to reportable communicable diseases must report positive results to the relevant health department or agency.
3. Institutions and organizations: Certain institutions and organizations, such as schools, daycare centers, and nursing homes, may also be required to submit reportable communicable disease notifications when a case is identified within their facility.
4. Individuals: In some cases, individuals who have been diagnosed with a reportable communicable disease may also be responsible for reporting their condition to the local health department.
5. Local health departments: Finally, local health departments play a crucial role in receiving and monitoring reportable communicable disease notifications. They are responsible for coordinating efforts to prevent the spread of diseases within their jurisdiction.

Note: The specific requirements for reportable communicable disease notification may vary by jurisdiction. It is important to consult the relevant health department or agency for guidelines and instructions specific to your location.

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