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Bureau of Infectious Disease ControlMEDICAL VERIFICATION FORM FOR COVID-19 VACCINE Patient Informational (Last) (First) (M.I.) Date of Birth / / Primary Phone Number: Other Phone Number: Email: Patient
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Health care provider infection refers to infections acquired by healthcare workers while providing care to patients.
Healthcare facilities are required to file reports on health care provider infections.
Health care provider infections can be filled out using specific reporting forms provided by health authorities.
The purpose of health care provider infection reporting is to track and prevent infections among healthcare workers.
Information such as the type of infection, affected healthcare worker, and possible sources of infection must be reported on health care provider infection.
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