Get the free DSHS HSR 2-3 Epi Reporting and Request Forms - dshs state tx
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DateCaseReportedCampylobacteriosis InvestigationReport / / NEDSSConfirmationDate / / INVESTIGATIONSUMMARY InvestigatorNBSPatientIDDateAssignedNBSCaseNo. InvestigationStartDateEpiLinkedtoInvestigationEndDateOutbreakNameFinalCaseStatusConfirmedProbable
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How to fill out dshs hsr 2-3 epi
How to fill out dshs hsr 2-3 epi
01
To fill out the DSHS HSR 2-3 EPI form, follow these steps:
02
Start by entering the patient's personal information, such as their name, date of birth, and contact details.
03
Provide details about the patient's medical condition and symptoms. Include the date of onset, duration, and any relevant medical history.
04
Fill out the required sections regarding the patient's immunization history, including dates and types of vaccines received.
05
If applicable, provide information about the patient's travel history, potential exposure to infectious diseases, or any known contacts with infected individuals.
06
Include details about any laboratory tests conducted and their results, if available.
07
Finally, sign and date the form to certify the accuracy of the provided information.
08
Ensure that you have thoroughly reviewed the form before submission to avoid any errors.
Who needs dshs hsr 2-3 epi?
01
The DSHS HSR 2-3 EPI form is typically required for patients who have experienced certain medical conditions, symptoms, or events that fall under the reporting criteria of the Texas Health Service Region 2-3.
02
Healthcare providers, laboratories, and healthcare facilities are generally responsible for filling out this form for their patients who meet the specific reporting requirements.
03
The form helps to collect crucial epidemiological information to monitor and control the spread of infectious diseases, assess public health risks, and facilitate appropriate interventions.
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What is dshs hsr 2-3 epi?
The DSHS HSR 2-3 epi is a form used for reporting healthcare-associated infections in Texas.
Who is required to file dshs hsr 2-3 epi?
Healthcare facilities in Texas are required to file the DSHS HSR 2-3 epi.
How to fill out dshs hsr 2-3 epi?
The DSHS HSR 2-3 epi can be filled out online through the Texas Department of State Health Services website.
What is the purpose of dshs hsr 2-3 epi?
The purpose of the DSHS HSR 2-3 epi is to track and monitor healthcare-associated infections in Texas healthcare facilities.
What information must be reported on dshs hsr 2-3 epi?
The DSHS HSR 2-3 epi requires information on the type of infection, number of cases, affected patients, and other relevant details.
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