Get the free OHA 3532 COVID-19 Case Interview Standard Data Form

COVID-19 Case Report Form For use in Correctional settings onlyINTERVIEWER INFORMATION Interviewer Last Name: First: Phone Number: Email: Jail Name: Job Title: CASE DEMOGRAPHICS Last Name: First:

How to fill out oha 3532 covid-19 case

How to fill out oha 3532 covid-19 case

1. To fill out OHA 3532 COVID-19 case form, follow these points:
2. Begin by providing your personal information such as full name, date of birth, and contact details.
3. Specify the date of symptom onset and the date of COVID-19 test if applicable.
4. Indicate the symptoms you are experiencing from the given list and provide additional details if necessary.
5. Mention any underlying health conditions you have that might increase your risk.
6. Provide information about your recent travel history, including dates and destinations.
7. Answer the questions related to close contact with someone diagnosed with COVID-19.
8. Specify whether you were in a congregate setting, healthcare facility, or long-term care facility.
9. If you are a healthcare worker, provide details about the healthcare facility you work in.
10. Lastly, read the declaration and sign the form to confirm the accuracy of the information provided.

Who needs oha 3532 covid-19 case?

1. OHA 3532 COVID-19 case form is required for anyone who meets the following criteria:
2. - Individuals who have tested positive for COVID-19.
3. - Individuals who have symptoms consistent with COVID-19 and are awaiting test results.
4. - Individuals who have been in close contact with someone diagnosed with COVID-19.
5. - Individuals who have traveled to areas with a high incidence of COVID-19.
6. - Healthcare workers who may have been exposed to COVID-19 in a healthcare setting.
7. - Individuals residing in congregate settings or long-term care facilities.

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What is oha 3532 covid-19 case?

OHA 3532 COVID-19 case refers to a specific reporting form or document used by the Oregon Health Authority to track COVID-19 cases within the state.

Who is required to file oha 3532 covid-19 case?

Health care providers, laboratories, and public health agencies involved in diagnosing or handling COVID-19 cases are required to file the OHA 3532.

How to fill out oha 3532 covid-19 case?

To fill out the OHA 3532, individuals need to provide patient demographics, test results, symptoms, and any relevant health information as requested on the form.

What is the purpose of oha 3532 covid-19 case?

The purpose of the OHA 3532 COVID-19 case is to gather standardized information regarding COVID-19 cases to monitor public health and guide response efforts.

What information must be reported on oha 3532 covid-19 case?

Information that must be reported includes patient name, date of birth, contact information, test results, onset of symptoms, and extraction date of the specimen.