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Get the free InfluenzaLike Illness Line List for Residents Fax this form to the MHO as requested ...

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Influenza-Like Illness Line List for Residents Fax this form to the MHO as requested during an outbreak. 604.731.2756 Facility name: Telephone: Contact person: Telephone: Resident Room Cough CDC Flu
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Influenzalike illness line list is a list of individuals who are showing symptoms similar to influenza.
Healthcare facilities and providers are required to file influenzalike illness line list.
Influenzalike illness line list can be filled out by entering the necessary information such as patient's name, symptoms, and test results.
The purpose of influenzalike illness line list is to track and monitor individuals with influenza-like symptoms.
Information such as patient's name, symptoms, test results, date of onset, and demographic information must be reported on influenzalike illness line list.
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