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Philadelphia Department of Public Health Division of Disease Control Acute Communicable Disease Program 500 South Broad St, Philadelphia, 19146 2012-2013 INFLUENZA REPORT FORM HOSPITALIZED OR FATAL
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F M cough influenza is a way to report cases of flu-like symptoms, specifically coughing and fever, in a formalized manner for tracking and analysis purposes.
Healthcare providers, hospitals, clinics, and other medical facilities are usually required to file f m cough influenza to the relevant health authorities.
Filling out f m cough influenza typically involves documenting the patient's symptoms, medical history, and relevant demographics on a standardized form.
The purpose of f m cough influenza is to track and monitor the spread of flu-like symptoms in a population, identify potential outbreaks, and implement appropriate public health measures.
Information to be reported on f m cough influenza usually includes the patient's name, age, gender, symptoms, recent travel history, and any underlying medical conditions.
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