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COMMUNICABLE DISEASE EXPOSURE Midland County Department of Public Health 220 W. Ellsworth, Midland MI 486405194 Dear Parent: Your child in room may have been exposed at school to the disease checked
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How to fill out communicable disease exposure
01
To fill out communicable disease exposure form, follow these steps:
02
Start by entering the basic information such as your name, date of birth, contact details, and occupation.
03
Specify the type of communicable disease you were exposed to, whether it is viral, bacterial, or fungal.
04
Provide details about the source of exposure, such as the suspected contaminated area, infected individual's name if known, or any other relevant information.
05
Mention the date and time of exposure along with the duration and intensity of the exposure.
06
Describe any symptoms or signs you have experienced since the exposure.
07
If you have sought medical attention, mention the healthcare provider's name and contact details.
08
If you have received any specific treatment or medication related to the exposure, provide details about the same.
09
Sign and date the form to confirm the accuracy of the information provided.
Who needs communicable disease exposure?
01
Anyone who suspects or has been exposed to a communicable disease needs to fill out a communicable disease exposure form.
02
This includes individuals who had direct contact with an infected person, visited an affected area, or were exposed to contaminated objects or substances.
03
Healthcare workers, laboratory personnel, and first responders who come into close contact with potentially infectious materials also need to document their exposure.
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