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Georgia Department of Public Health Pertussis Reporting and Case Investigation Form PATIENT DEMOGRAPHICS Patient name: Last, First M.I. Date of birth (mm/dd/by): Age (enter age and check one): / /
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The Georgia Department of Public Health is a state government agency responsible for protecting and improving the health of Georgia residents.
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Healthcare facilities and providers in Georgia are required to file reports with the Georgia Department of Public Health.
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The Georgia Department of Public Health provides an online portal for healthcare facilities and providers to submit their reports.
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