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Novel Influenza A Virus (H1N1, Swine-like) Surveillance Form Section A: Source Information Date: Person Interviewed: Section B: Patient Information Last Name(s): DOB: Address: City: Phones: (H) Occupation:
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How to fill out who surveillance form for

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Point by point, here is how to fill out the "Who Surveillance Form" and for whom it is needed:
01
Obtain the form: The "Who Surveillance Form" can be obtained from the designated authority responsible for surveillance activities. This could be a government agency, a healthcare organization, or any other relevant entity involved in monitoring individuals or groups.
02
Provide personal details: Start by filling in your personal information accurately. This may include your full name, date of birth, contact details, and any other information requested on the form. Make sure to double-check your entries for any errors or omissions.
03
Specify the purpose: Indicate the reason for the surveillance by clearly stating the purpose for which the form is being filled out. This could be related to healthcare monitoring, security investigations, or any other specific purpose as outlined in the instructions provided.
04
Describe surveillance requirements: Clearly articulate the surveillance requirements that need to be fulfilled. This may include providing details about the activities, events, or individuals that need to be monitored. Be as specific and detailed as possible to ensure accurate monitoring.
05
Attach supporting documentation: If requested, attach any supporting documents that are necessary to complete the form. This could include medical reports, identification documents, legal authorizations, or any other relevant paperwork. Ensure that all attached documents are valid and up to date.
06
Review and sign the form: Carefully review all the information you have provided on the form to ensure accuracy and completeness. In places where a signature is required, sign the form using your legal signature to authenticate the document.

Who needs the "Who Surveillance Form" for?

The "Who Surveillance Form" is typically required for individuals or organizations involved in surveillance activities. This may include government agencies responsible for public security, healthcare providers monitoring specific patients, or any other entity that needs to track and document individuals or groups for legitimate reasons.
Overall, the form is needed by those who have the authority to conduct surveillance and require accurate information to carry out their monitoring responsibilities effectively.
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The WHO surveillance form is used to collect data on specific diseases or conditions in order to monitor their occurrence and track trends.
Healthcare providers, laboratories, and public health agencies are typically required to file the WHO surveillance form.
The WHO surveillance form can be filled out online or on paper. It typically requires information such as the patient's demographics, medical history, and details about the disease or condition being reported.
The purpose of the WHO surveillance form is to gather information on diseases or conditions in order to detect outbreaks, monitor trends, and inform public health responses.
The information reported on the WHO surveillance form may include patient demographics, symptoms, laboratory test results, and treatment information.
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