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Smallpox PATIENT DEMOGRAPHICS Name (last, first): Address: City/State/Zip: Phone (home): Phone (work) : Occupation/grade: Employer/School: Alternate contact: Parent/Guardian Spouse Other Name: Phone:
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Smallpox - WV DHHR is a mandatory reporting requirement for healthcare providers in West Virginia to report any suspected or confirmed cases of smallpox.
Healthcare providers in West Virginia are required to file the smallpox - WV DHHR report.
Healthcare providers can fill out the smallpox - WV DHHR report online through the West Virginia Department of Health and Human Resources website.
The purpose of smallpox - WV DHHR is to track and monitor any cases of smallpox in West Virginia to prevent the spread of the disease.
Healthcare providers must report patient demographics, symptoms, laboratory test results, and vaccination history on the smallpox - WV DHHR report.
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