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(8/4/14)Perinatal Hepatitis B Household Contact Followup Report Other Household Contacts Date: ___/___/___Tennessee Warning ___ (Initials)Mothers First Name ___ Last Name ___ Mothers DOB: ___/___/___
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What is perinatal hepatitis b intake?
Perinatal hepatitis b intake is a form used to report a newborn's risk for hepatitis B infection.
Who is required to file perinatal hepatitis b intake?
Healthcare providers are required to file perinatal hepatitis b intake.
How to fill out perinatal hepatitis b intake?
Perinatal hepatitis b intake can be filled out electronically or on paper with the necessary information about the newborn's risk factors.
What is the purpose of perinatal hepatitis b intake?
The purpose of perinatal hepatitis b intake is to identify and monitor newborns at risk for hepatitis B infection.
What information must be reported on perinatal hepatitis b intake?
Information such as maternal hepatitis B status, infant immunization status, and any exposure to hepatitis B must be reported on perinatal hepatitis b intake.
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