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California Department of Public Health Surveillance and Statistics Section MS 7306 P.O. Box 997377 Sacramento, CA 958997377State of CaliforniaHealth and Human Services AgencyDIPHTHERIA CASE REPORT
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How to fill out request for infectious diseases

01
Obtain the necessary request form for infectious diseases from the healthcare provider or laboratory.
02
Fill out the form completely with accurate personal information, including name, date of birth, address, and contact information.
03
Provide details about the type of infectious disease being requested, such as symptoms experienced or exposure history.
04
Include any relevant medical history or previous test results that may be helpful for diagnosis.

Who needs request for infectious diseases?

01
Individuals who are experiencing symptoms of an infectious disease and require testing for diagnosis.
02
Healthcare providers who are evaluating patients with suspected infectious diseases and need to request specific tests.
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Request for infectious diseases is a document or form used to report cases of infectious diseases to the appropriate health authorities.
Healthcare professionals, healthcare facilities, and laboratories are required to file request for infectious diseases.
Request for infectious diseases can be filled out by providing information such as patient demographics, symptoms, test results, and diagnosis.
The purpose of request for infectious diseases is to track and monitor the spread of infectious diseases, as well as to implement appropriate public health measures.
Information such as patient demographics, symptoms, test results, diagnosis, and contact information must be reported on request for infectious diseases.
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