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DEPARTMENT OF HEALTH SERVICES Division of Public Health F05280 (Rev. 11/2016)STATE OF WISCONSIN Wis. Stat. 69.21-Page 1 of 2WISCONSIN DEATH CERTIFICATE APPLICATIONTYPE or PRINT.(for Mail or Unperson
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Online influenza disease fact is a digital form used to report cases of influenza to public health authorities.
Healthcare providers, such as doctors, hospitals, and clinics, are required to file online influenza disease fact.
Online influenza disease fact can be filled out by providing information about the patient's symptoms, test results, and demographic information.
The purpose of online influenza disease fact is to track the spread of influenza, monitor trends, and implement appropriate public health interventions.
Information such as patient's name, age, symptoms, test results, and vaccination status must be reported on online influenza disease fact.
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