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Case Status o Confirmed NBS ID:___ Case Investigation ID: CAS___TX01 o Probable o Not a Case VARICELLA (chickenpox) Reporting Form Please use this form to report cases of varicella to your local or
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Fill out the varicella form provided by the Texas Department of Health Services.
02
Provide all the required personal information such as name, date of birth, address, etc.
03
Provide any relevant medical history related to varicella or chickenpox.
04
Sign and date the form as required.
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Submit the completed form to the Texas Department of Health Services for processing.

Who needs varicella - texas department?

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Anyone who is required to provide proof of varicella vaccination or immunity by the Texas Department of Health Services.
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Varicella is a disease caused by the varicella-zoster virus. The Texas Department of State Health Services oversees the reporting and control of varicella cases.
Healthcare providers, schools, and other facilities are required to report varicella cases to the Texas Department of State Health Services.
To fill out the varicella form, healthcare providers must include the patient's information, symptoms, and test results.
The purpose of reporting varicella cases to the Texas Department of State Health Services is to track outbreaks, monitor vaccine effectiveness, and prevent the spread of the disease.
Information such as patient demographics, symptoms, vaccination history, and laboratory test results must be reported on the varicella form.
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