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Global COVID-19 Clinical Platform NOVEL CORONAVIRUS (COVID-19) RAPID VERSIONDESIGN OF THIS CASE RECORD FORM (CRF) This CRF has 3 modules: Module 1 to be completed on the first day of admission to

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How to fill out covid-19 case record form

01

Gather all necessary patient information such as name, age, contact information, and recent travel history.

02

Document symptoms experienced by the patient such as fever, cough, shortness of breath, and fatigue.

03

Record the date of symptom onset and any relevant medical history.

04

Include any known exposure to the virus, including contact with confirmed cases.

05

Submit the completed form to the appropriate health authorities for tracking and monitoring.

Who needs covid-19 case record form?

01

Healthcare professionals responsible for treating and monitoring covid-19 patients.

02

Government agencies and public health authorities for surveillance purposes.

03

Employers and organizations implementing safety protocols in the workplace.

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What is covid-19 case record form?

The covid-19 case record form is a document used to report and track information about confirmed cases of covid-19.

Who is required to file covid-19 case record form?

Healthcare providers, employers, and individuals who have tested positive for covid-19 are required to file the covid-19 case record form.

How to fill out covid-19 case record form?

To fill out the covid-19 case record form, you will need to provide details such as personal information, test results, contact information, and any relevant medical history.

What is the purpose of covid-19 case record form?

The purpose of the covid-19 case record form is to help track and monitor the spread of covid-19, identify potential outbreaks, and facilitate contact tracing.

What information must be reported on covid-19 case record form?

The covid-19 case record form requires information such as name, date of birth, test date, test result, symptoms, contact information, and relevant medical history.

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