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Send or Fax to: ADDS Office of Infectious Disease Services 150 N 18th Ave, Suite 140 Phoenix, AZ 850073237 (602) 3643199 Hepatitis B / Attach to MED SIS Casements ID: Name: Date of Birth:Gender:FemaleMaleUnknownStreet
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To fill out hepatitis b d form, follow these steps:
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Start by providing your personal information such as your name, date of birth, and contact details.
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Next, provide information about your medical history, including any past or current hepatitis B infections or vaccinations.
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Fill in details about any risk factors or exposure to hepatitis B, such as close contact with an infected person or travel to high-risk areas.
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Include any information about previous screening tests or diagnostic procedures related to hepatitis B.
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If applicable, provide information about any medications or treatments you have received for hepatitis B.
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Who needs hepatitis b d?

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Hepatitis B vaccination is recommended for the following individuals:
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- Infants, children, and adolescents who were not vaccinated at birth
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- Healthcare workers at risk of exposure to blood or bodily fluids
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- People living with or having close contact with someone infected with hepatitis B
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- Individuals with chronic liver disease or HIV infection
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- People with certain medical conditions (e.g., diabetes, kidney disease) or planning to undergo organ transplantation
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- Travelers to regions with high hepatitis B prevalence
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- Injection drug users
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- Men who have sex with men
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- Pregnant women
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Hepatitis B is a liver infection caused by the hepatitis B virus.
Healthcare providers are required to file hepatitis B reports with the appropriate health authorities.
Hepatitis B reports can be filled out electronically or on paper forms provided by health authorities.
The purpose of hepatitis B reports is to track and monitor cases of hepatitis B infection.
Information such as patient demographics, laboratory test results, and vaccination history must be reported on hepatitis B forms.
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