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AFP CASE INVESTIGATION FORM Country Year SOURCE OF REPORT Date reported Person reporting case Name and address of institution Telephone number CASE IDENTIFICATION Name Sex Date of birth Age at onset of symptoms Present address Village/city District/county State/Province Permanent address Mother s name Father s name HOSPITALIZATION Hospitalized Yes no Name of hospital Medical record no Date Hospitalized / / Address SIGNS AND SYMPTOMS Date of onset of symptoms / / yes no unk fever headache sore...

How to fill out case investigation form afp

How to fill out case investigation form afp:

1. Begin by carefully reading and understanding the instructions provided on the form.
2. Gather all necessary information and documents relevant to the case, such as incident reports, witness statements, and any other supporting evidence.
3. Start by filling out the basic information section, which typically includes details such as the date, time, and location of the incident.
4. Proceed to provide a detailed description of the case, including any relevant background information, circumstances, and individuals involved.
5. If applicable, indicate any injuries sustained or damage caused as a result of the incident.
6. Include any supporting evidence, such as photographs or videos, by attaching them to the form or providing references to them.
7. Provide contact information for yourself and any other individuals involved in the case, as well as any witnesses or other parties who may have information relevant to the investigation.
8. Carefully review the completed form for any errors or omissions before submitting it.
9. Sign and date the form, indicating your agreement to the accuracy of the information provided.

Who needs case investigation form afp:

1. Law enforcement agencies may require individuals involved in a case to fill out a case investigation form afp in order to gather relevant information and evidence.
2. Victims or witnesses of a crime may need to complete the form as part of the investigation process.
3. Legal professionals, such as attorneys or prosecutors, may use the form to document and analyze information related to a case.

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What is case investigation form afp?

The case investigation form afp is a document used to gather information about suspected cases of acute flaccid paralysis.

Who is required to file case investigation form afp?

Healthcare providers and facilities are required to file the case investigation form afp when they encounter suspected cases of acute flaccid paralysis.

How to fill out case investigation form afp?

The case investigation form afp can be filled out by providing detailed information about the patient, symptoms, medical history, and any other relevant information.

What is the purpose of case investigation form afp?

The purpose of the case investigation form afp is to gather data on suspected cases of acute flaccid paralysis for monitoring and surveillance purposes.

What information must be reported on case investigation form afp?

Information such as patient demographics, symptoms, medical history, vaccination status, and laboratory test results must be reported on the case investigation form afp.