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Case name (last, first) ___
Birth date ___/___/___Age at symptom onset ___YearsMonthsAlternate name ___Tularemia
CountyPhone ___
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How to fill out tularemia -washington state department
How to fill out tularemia -washington state department
01
Obtain a Tularemia case report form from the Washington State Department of Health.
02
Fill out the form with the patient's demographic information, such as name, age, sex, and contact information.
03
Provide details on the patient's symptoms, laboratory results, and any potential exposures to tularemia.
04
Include information on the healthcare provider diagnosing the case and their contact information.
05
Submit the completed form to the Washington State Department of Health following their specific submission instructions.
Who needs tularemia -washington state department?
01
Individuals who have been diagnosed with or are suspected of having tularemia by a healthcare provider in Washington State.
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What is tularemia -washington state department?
Tularemia is a reportable disease that must be reported to the Washington State Department of Health.
Who is required to file tularemia -washington state department?
Healthcare providers, hospitals, and laboratories are required to file tularemia reports to the Washington State Department of Health.
How to fill out tularemia -washington state department?
Tularemia reports can be filled out online through the Washington State Department of Health's reporting portal.
What is the purpose of tularemia -washington state department?
The purpose of filing tularemia reports is to monitor and track the incidence of tularemia in Washington State for public health purposes.
What information must be reported on tularemia -washington state department?
Information that must be reported includes patient demographics, clinical symptoms, laboratory test results, and possible sources of exposure to tularemia.
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