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Varicella (Chicken Pox) Reporting Form Use this form to report cases of varicella (chickenpox) to the local health department within 24 hours. Do not report cases of zoster (shingles) on this form.

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How to fill out varicella chicken pox reporting

01

Obtain the varicella chicken pox reporting form from the appropriate health department or agency.

02

Fill out all required information such as patient's name, age, address, date of onset of symptoms, and contact information.

03

Provide details about the diagnosis of varicella chicken pox, including any lab results if available.

04

Submit the completed form to the designated health department or agency according to their specific guidelines.

Who needs varicella chicken pox reporting?

01

Healthcare providers such as doctors, nurses, and laboratory technicians are required to report cases of varicella chicken pox to the health department or agency.

02

Schools and childcare facilities may also need to report cases of varicella chicken pox to the health department for tracking and monitoring purposes.

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What is varicella chicken pox reporting?

Varicella chicken pox reporting is the process of reporting cases of chicken pox to health authorities for monitoring and public health purposes.

Who is required to file varicella chicken pox reporting?

Healthcare providers, schools, and public health departments are typically required to file varicella chicken pox reporting.

How to fill out varicella chicken pox reporting?

Varicella chicken pox reporting can usually be done online through a designated reporting system provided by health authorities.

What is the purpose of varicella chicken pox reporting?

The purpose of varicella chicken pox reporting is to track and monitor the spread of chicken pox, identify outbreaks, and implement measures to prevent further transmission.

What information must be reported on varicella chicken pox reporting?

Information such as patient demographics, date of onset, severity of symptoms, and vaccination status must be reported on varicella chicken pox reporting.

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