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Get the free Outbreak Reporting Form - Foodborne/Waterborne/Enteric/Zoonotic. Form used by diseas...

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Secure Email (preferred) or Fax completed form to DOH Communicable Disease Epidemiology Fax: 2063641060Outbreak Reporting Form Foodborne/ Waterborne/Enteric/Zoonotic DISEASE Bacterial:Date of initial
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How to fill out outbreak reporting form

01
Gather all necessary information related to the outbreak, including the affected individuals, symptoms, and potential sources of infection.
02
Complete all sections of the outbreak reporting form accurately and thoroughly, providing as much detail as possible.
03
Ensure all required fields are filled out, including dates, locations, and contact information for those involved.
04
Submit the completed outbreak reporting form to the appropriate authorities or organization as soon as possible.

Who needs outbreak reporting form?

01
Healthcare professionals
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Public health departments
03
Medical facilities
04
Government agencies
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The outbreak reporting form is a document used to report information about outbreaks of diseases or illnesses.
Healthcare providers, medical facilities, and public health departments are required to file outbreak reporting forms.
The outbreak reporting form can be filled out online or submitted in person at the appropriate health department.
The purpose of the outbreak reporting form is to track and investigate outbreaks of diseases or illnesses to prevent further spread.
Information such as the type of disease or illness, number of cases, location of outbreak, and date of outbreak must be reported on the outbreak reporting form.
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