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CDC 2019nCoV ID:ICP HD Specimen No. Human Infection with 2019 Novel Coronavirus Person Under Investigation (PUB) and Case Report Form Patient Information Name: Last First DOB (MM/DD/YYY) Physician
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Step 1: Obtain a copy of the covid-19 case questionnaire initial form.
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Step 2: Read the instructions carefully before filling out the form.
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Step 3: Fill out the personal information section including your name, age, gender, and contact details.
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Step 4: Answer the questions regarding your travel history, if applicable.
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Step 5: Provide information on your current symptoms or any previous COVID-19 diagnosis.
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Step 6: Fill out any additional sections or questions required by the specific form.
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Who needs covid-19 case uestionnaire initial?

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Individuals who suspect or have symptoms of COVID-19 need to fill out the covid-19 case questionnaire initial.
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It is also required for individuals who have been in contact with a confirmed COVID-19 case.
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Healthcare professionals and authorities may also request individuals to fill out this questionnaire for contact tracing purposes.
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The COVID-19 case questionnaire initial is a document designed to gather essential information about individuals who have tested positive for COVID-19.
Individuals who have confirmed cases of COVID-19 or authorized representatives such as healthcare providers are usually required to file the COVID-19 case questionnaire initial.
To fill out the COVID-19 case questionnaire initial, individuals must provide personal information, test results, symptoms, contact history, and any relevant travel history.
The purpose of the COVID-19 case questionnaire initial is to help public health officials monitor and control the spread of the virus by tracking cases and identifying trends.
The information that must be reported includes personal identification details, testing information, symptoms experienced, and potential exposures to other individuals.
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