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Chickenpox and Shingles Case Report Form for Minnesota Schools and Child Cares Date reporting (mm/dd/YYY): To: Minnesota Department of Health, PD Surveillance Unit Use this form to report all chickenpox

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How to fill out chickenpox and shingles case

01

Make sure you have all the necessary information about the patient such as their medical history, symptoms, and any previous treatments.

02

Start by documenting the onset of symptoms and any known exposures to the chickenpox or shingles virus.

03

Record any diagnostic tests that have been performed and their results.

04

Note any treatments that have been prescribed and their effectiveness.

05

Provide a detailed description of the patient's current condition and any complications that have arisen.

Who needs chickenpox and shingles case?

01

Individuals who have been diagnosed with or exposed to chickenpox or shingles may need a case to track their symptoms, treatments, and overall progress.

02

Medical professionals, researchers, or public health officials may also need chickenpox and shingles cases for tracking outbreaks, monitoring treatment effectiveness, or conducting studies.

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What is chickenpox and shingles case?

Chickenpox and shingles case is a report that includes information about individuals diagnosed with chickenpox or shingles.

Who is required to file chickenpox and shingles case?

Healthcare providers are required to file chickenpox and shingles case.

How to fill out chickenpox and shingles case?

To fill out chickenpox and shingles case, healthcare providers need to provide information about the patient's diagnosis, treatment, and demographic information.

What is the purpose of chickenpox and shingles case?

The purpose of chickenpox and shingles case is to track and monitor the occurrence of chickenpox and shingles cases.

What information must be reported on chickenpox and shingles case?

Information such as patient's name, age, date of diagnosis, symptoms, treatment received, and healthcare provider information must be reported on chickenpox and shingles case.

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