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Get the free NJDOH SPOTTED FEVER GROUP RICKETTSIOSIS INVESTIGATION WORKSHEET CDRSS - State

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NJ DOH Q FEVER INVESTIGATION WORKSHEET MR #: ___CD RSS #: ___Demographics Patient Last NameFirst Name DOB:Phone number___ / ___ / ___ AddressCityEthnicityRaceHispanic White Black Unknown NonHispanic
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To fill out NJDOH spotted fever group, follow the steps below:
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Start by downloading the NJDOH spotted fever group form from the official website.
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Fill out your personal information, including your name, address, and contact details.
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Provide accurate details about your symptoms, medical history, and any previous treatments received.
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If you have undergone any diagnostic tests, mention the results and attach the relevant reports.
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Make sure to include the date of onset of symptoms and any known exposure to tick bites.
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The NJDOH spotted fever group form is typically required for individuals who:
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- Have been diagnosed with or suspected to have spotted fever group diseases
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- Have exhibited symptoms associated with spotted fever group diseases
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- Have been exposed to tick bites or high-risk areas for tick-borne illnesses
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- Require medical treatment or consultation related to spotted fever group diseases
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- Are participating in research or surveillance studies related to spotted fever group diseases
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NJDHSS Spotted Fever Group includes cultures and serosurveys for rickettsial disease.
Healthcare providers and laboratories are required to file NJDOH Spotted Fever Group reports.
Healthcare providers and laboratories can fill out NJDOH Spotted Fever Group reports online through the NJDOH reporting system.
The purpose of NJDOH Spotted Fever Group is to track and monitor cases of rickettsial diseases in New Jersey.
Information such as patient demographics, symptoms, laboratory test results, and treatment history must be reported on NJDOH Spotted Fever Group.
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