Get the free CDC Legionellosis Case Report (Disease caused by any Legionella species). A fillable...

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Patients Name (Last, First, MI): Phone: Hospital: Address (Number, Street, Apt No., City, State, ZIP):Patient Chart No.:***PATIENT IDENTIFIER INFORMATION IS NOT TRANSMITTED TO CDC***National Center

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How to fill out cdc legionellosis case report

01

Obtain the CDC Legionellosis Case Report form from the CDC website or your local health department.

02

Fill out the patient information section including name, date of birth, address, and contact information.

03

Provide details about the patient's symptoms, onset of illness, and any known exposures to Legionella bacteria.

04

Include information about any diagnostic testing that has been done, such as urine antigen testing or culture results.

05

Document any underlying health conditions or risk factors that may have contributed to the development of Legionellosis.

06

Submit the completed form to the appropriate health department or CDC office for further review and investigation.

Who needs cdc legionellosis case report?

01

Healthcare providers who diagnose cases of Legionellosis

02

Local health departments investigating outbreaks of Legionellosis

03

CDC officials tracking and monitoring Legionellosis cases at a national level

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What is cdc legionellosis case report?

The CDC legionellosis case report is a form used to report cases of legionellosis to the Centers for Disease Control and Prevention.

Who is required to file cdc legionellosis case report?

Healthcare providers and laboratories are required to file CDC legionellosis case reports.

How to fill out cdc legionellosis case report?

CDC legionellosis case reports can be filled out electronically or submitted on paper forms provided by the CDC.

What is the purpose of cdc legionellosis case report?

The purpose of CDC legionellosis case reports is to track and monitor cases of legionellosis for public health surveillance.

What information must be reported on cdc legionellosis case report?

Information such as patient demographics, symptoms, laboratory results, and potential sources of exposure must be reported on CDC legionellosis case reports.

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