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DEPARTMENT OF HEALTH SERVICES
Division of Public Health
F44151 (Rev. 08/08)ENTERIC DISEASES
AND HEPATITISSEXUALLY TRANSMITTED
DISEASESMORBIDITY
DATADEMOGRAPHIC DATA
PATIENT INFORMATIONInformation
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01
To fill out the acute and communicable disease form, follow the steps below:
02
Begin by entering the patient's personal information, including their name, age, and contact details.
03
Specify the date of onset of the disease and the date of diagnosis.
04
Provide a detailed description of the symptoms exhibited by the patient.
05
Mention any medical tests or examinations conducted to confirm the disease.
06
Document the treatment administered to the patient, including any medications prescribed.
07
If applicable, indicate if the patient was hospitalized and provide relevant details.
08
Mention any preventive measures or precautions recommended for the patient and others in close contact.
09
Include any additional information that may be relevant to the diagnosis or management of the disease.
10
Finally, sign and date the form to certify its accuracy.
Who needs acute and communicable disease?
01
Acute and communicable disease forms are typically needed by healthcare professionals, such as doctors, nurses, and public health officials.
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These forms help in tracking and monitoring the spread of contagious diseases within a community.
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They are important for timely intervention, implementing preventive measures, and providing appropriate medical care to affected individuals.
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Furthermore, government health agencies may require these forms for statistical and research purposes.
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What is acute and communicable disease?
Acute and communicable diseases are illnesses that are contagious and can spread from person to person.
Who is required to file acute and communicable disease?
Medical professionals and healthcare facilities are required to file acute and communicable disease.
How to fill out acute and communicable disease?
Acute and communicable diseases can be filled out by providing information about the patient, symptoms, diagnosis, and treatment.
What is the purpose of acute and communicable disease?
The purpose of acute and communicable disease reporting is to track and prevent the spread of contagious illnesses.
What information must be reported on acute and communicable disease?
Information such as patient demographics, symptoms, diagnosis, and treatment must be reported on acute and communicable disease.
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