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FORM EBOLA VIRUS DISEASE SCREENING FORM Acute Communicable Disease Control 313 N. Figueroa St., Rm. 212 Los Angeles, CA 90012 2132407941 (phone), 2134824856 (facsimile) publichealth.lacounty.gov/acd/Interviewer

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How to fill out form a ebola virus

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Here is how you can fill out a form for Ebola virus:

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Start by gathering all the necessary information that is required to fill out the form.

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Carefully read the instructions provided on the form to understand the required format and any specific guidelines.

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Begin by entering your personal information such as name, date of birth, contact details, etc.

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Provide the relevant medical history information including any previous exposure to Ebola virus or symptoms experienced.

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Fill out details related to recent travels, including countries visited and dates of travel.

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Enter any quarantine or isolation information, if applicable.

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Include details about any vaccinations or treatments received related to Ebola virus.

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Sign and date the form as required.

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Submit the form to the designated authority or organization responsible for handling Ebola virus-related matters.

Who needs form a ebola virus?

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Anyone who suspects they may have been exposed to Ebola virus or is experiencing symptoms related to the virus needs to fill out a form for Ebola virus.

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What is form a ebola virus?

Form A Ebola Virus is a document used to report cases of the Ebola virus.

Who is required to file form a ebola virus?

Healthcare providers, laboratories, and individuals who suspect they have been exposed to the Ebola virus are required to file Form A Ebola Virus.

How to fill out form a ebola virus?

Form A Ebola Virus can be filled out online or submitted in person at a designated health facility. The form requires detailed information about the patient and their symptoms.

What is the purpose of form a ebola virus?

The purpose of Form A Ebola Virus is to track and monitor cases of the Ebola virus in order to prevent its spread and provide timely treatment.

What information must be reported on form a ebola virus?

Information such as patient name, age, symptoms, travel history, and contact information must be reported on Form A Ebola Virus.

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