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CASE ACCESSION
NUMBER OR CASE
INVESTIGATION ID×CASE SPECIMEN COLLECTION
RETRANSMISSION EVENT Health
CASE NOT IDENTIFIEDMONKEYPOX CONTACT INVESTIGATION FORM UPDATES ___ (YYYYMMDD)CONTACT FORM ___
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How to fill out monkeypox contact investigation form
How to fill out monkeypox contact investigation form
01
Gather all necessary information such as name, contact information, and possible exposure to monkeypox.
02
Fill out the contact investigation form accurately and completely, ensuring all required fields are filled in.
03
Keep track of any follow-up actions or information needed based on the form responses.
04
Submit the completed form to the appropriate health authorities or designated personnel for further review and action.
Who needs monkeypox contact investigation form?
01
Healthcare providers who are treating a suspected or confirmed case of monkeypox.
02
Public health officials conducting contact tracing efforts for individuals who may have been exposed to monkeypox.
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What is monkeypox contact investigation form?
The monkeypox contact investigation form is a document used to gather information about individuals who have been in contact with a confirmed monkeypox case.
Who is required to file monkeypox contact investigation form?
Health authorities, healthcare providers, and individuals who have been identified as contacts of a confirmed monkeypox case are required to file the form.
How to fill out monkeypox contact investigation form?
The form must be completed with details about the contact's personal information, exposure history, symptoms, and any preventive measures taken.
What is the purpose of monkeypox contact investigation form?
The purpose of the form is to track and monitor individuals who may have been exposed to monkeypox in order to prevent further transmission of the disease.
What information must be reported on monkeypox contact investigation form?
Information such as contact details, exposure history, symptoms, and preventive measures must be reported on the form.
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