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CPH TB Clinic Referral *Date: ___ *Reported By: ___ *Phone: ___ *Hospital: ___ *Type of referral: ___ Active/Suspect TB___Positive skin test/QFT(mark results below) ___ LTBIPatient Information: *Patients
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Gather all necessary information for the clinical services and disease being reported.
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Submit the completed clinical services and disease form to the appropriate department or agency for review and processing.
Who needs clinical services ampamp disease?
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Patients who require medical treatment and services for a particular disease or condition.
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Healthcare facilities and organizations that need to report on the prevalence and treatment of specific diseases in their patient populations.
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What is clinical services ampamp disease?
Clinical services are healthcare services provided to diagnose, treat, or prevent diseases. Disease refers to a condition that impairs normal functioning of the body.
Who is required to file clinical services ampamp disease?
Healthcare providers and institutions are required to file clinical services and disease information for reporting purposes.
How to fill out clinical services ampamp disease?
Clinical services and disease information can be filled out by providing accurate details of the services provided, diagnoses made, and treatments administered.
What is the purpose of clinical services ampamp disease?
The purpose of filing clinical services and disease information is to track the healthcare services provided, monitor disease trends, and improve overall public health.
What information must be reported on clinical services ampamp disease?
Information such as patient demographics, services provided, diagnoses, treatments, and outcomes must be reported on clinical services and disease forms.
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