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MONEYBOX INTAKE & INVESTIGATION FORM Acute Communicable Disease Control 313 N. Figueroa St., Rm. 212 Los Angeles, CA 90012 2132407941 (phone), 2134824856 (fax) publichealth.lacounty.gov/acd/PATIENT
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01
Begin by gathering all necessary information and forms for the monkeypox intake and investigation.
02
Ensure that you have a thorough understanding of the purpose of the intake and investigation process.
03
Start by filling out the basic patient information including name, date of birth, and contact information.
04
Provide a detailed medical history of the patient, including any relevant pre-existing conditions or allergies.
05
Document the symptoms experienced by the patient and the timeline of their development.
06
Include information about any recent travel or exposure to high-risk areas or individuals.
07
Collect samples if necessary for laboratory testing and document the collection process.
08
Record any treatments or medications given to the patient and their effects.
09
Finally, review all the information provided and make sure it is accurate and complete before submitting the intake and investigation.
10
Follow any additional instructions or guidelines provided by healthcare authorities or organizations.

Who needs monkeypox intake and investigation?

01
Anyone suspected or confirmed to have monkeypox requires an intake and investigation.
02
Healthcare professionals, including doctors, nurses, and laboratory personnel, need to conduct monkeypox intake and investigation.
03
Public health authorities and organizations responsible for disease surveillance and control may also require monkeypox intake and investigation data.
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Monkeypox intake and investigation refers to the processes involved in collecting data and information about suspected or confirmed cases of monkeypox. This includes evaluating patient history, symptoms, potential exposure, and the results of laboratory tests.
Healthcare providers, public health officials, and laboratories that identify or suspect cases of monkeypox are required to file the monkeypox intake and investigation.
To fill out a monkeypox intake and investigation form, you need to gather patient information including demographics, clinical symptoms, exposure history, and laboratory test results, and then accurately complete each section of the form according to provided guidelines.
The purpose of monkeypox intake and investigation is to track the spread of the disease, inform public health responses, provide necessary care to affected individuals, and implement measures to prevent further transmission.
Information that must be reported includes patient demographic details, clinical symptoms, exposure history, laboratory test results, vaccination status, and any relevant epidemiological data.
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