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June 17, 1994 / Vol. 43 / No. 23 421 Updates: Coccidioidomycosis -- California, 1991 1993 423 Head Injuries Associated with Motorcycle Use -- Wisconsin, 1991 MORBIDITY AND MORTALITY WEEKLY REPORT
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How to fill out coccidioidomycosis CDC form:

01
Obtain the coccidioidomycosis CDC form from the Centers for Disease Control and Prevention (CDC) website or the appropriate healthcare provider.
02
Carefully read the instructions provided with the form to ensure accurate completion.
03
Begin by entering personal information such as full name, date of birth, and contact details in the designated fields.
04
Provide relevant medical history, including any previous exposure to coccidioidomycosis, symptoms experienced, and the timeline of illness.
05
Include details about recent travel history, particularly to endemic regions where coccidioidomycosis is prevalent.
06
If applicable, indicate any known risk factors or occupational exposure that may have contributed to the infection.
07
Include information about recent laboratory test results, such as serology or culture findings, if available.
08
Sign and date the form once all necessary information has been accurately filled out.
09
Return the completed form to the appropriate healthcare provider or submit it as instructed by the CDC or relevant authority.

Who needs coccidioidomycosis CDC form:

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Individuals who have been diagnosed with or are suspected to have coccidioidomycosis by a healthcare professional.
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Healthcare providers and laboratories who are involved in the diagnosis, treatment, or monitoring of coccidioidomycosis cases.
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Public health authorities and researchers who require comprehensive data for surveillance, monitoring, and epidemiological studies related to coccidioidomycosis.
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The coccidioidomycosis CDC form is a document issued by the Centers for Disease Control and Prevention (CDC) that is used to collect information about cases of coccidioidomycosis, a fungal infection, for surveillance purposes.
Healthcare providers and laboratories are required to file the coccidioidomycosis CDC form whenever they diagnose or identify a case of coccidioidomycosis.
To fill out the coccidioidomycosis CDC form, healthcare providers and laboratories need to provide information about the diagnosed individual, such as their demographics, symptoms, laboratory test results, and treatment information. The form can be submitted electronically or through mail.
The purpose of the coccidioidomycosis CDC form is to collect data on coccidioidomycosis cases for surveillance purposes. This helps the CDC monitor the incidence and prevalence of the infection, identify trends, and develop strategies for prevention and control.
The coccidioidomycosis CDC form requires reporting of information such as the patient's demographics, symptoms, laboratory test results, treatment information, and any complications or outcomes related to the infection.
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