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Communicable Disease Reporting Form
FAX (734) 5446706 (Confidential fax)
Phone (734) 5446700
Anaplasmosis
Anthrax
Babesiosis
Blastomycosis
Botulism
Brucellosis
Campylobacter enteritis
Android
Chickenpox
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How to fill out communicable disease reporting form
How to fill out communicable disease reporting form
01
Gather necessary information such as patient's name, contact information, date of birth, and address.
02
Record the specific communicable disease being reported.
03
Include details on symptoms exhibited by the patient.
04
Provide information on the healthcare provider making the report.
05
Submit the completed form to the appropriate public health authority.
Who needs communicable disease reporting form?
01
Healthcare providers
02
Public health officials
03
Government agencies
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What is communicable disease reporting form?
The communicable disease reporting form is a document used to report information about contagious diseases to public health authorities.
Who is required to file communicable disease reporting form?
Healthcare providers, laboratories, and other healthcare facilities are required to file communicable disease reporting forms.
How to fill out communicable disease reporting form?
The form can typically be filled out online or by paper, and requires information such as patient demographics, disease diagnosis, and testing details.
What is the purpose of communicable disease reporting form?
The purpose of the communicable disease reporting form is to track and monitor the spread of infectious diseases in a community.
What information must be reported on communicable disease reporting form?
Information such as patient details, disease diagnosis, test results, and potential contacts must be reported on the form.
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