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Lymphogranuloma Venereal Enhanced Surveillance Form v3.3 17/10/2019 CONFIDENTIALITY event ID:Page 1 of 2For information on the completion of this form, please see Page 2 A. Patient Information 1.

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How to fill out lgv enhanced surveillance form

01

Obtain the LGV enhanced surveillance form from a healthcare provider or public health agency.

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Fill in your personal details such as name, date of birth, and contact information.

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Answer all questions on the form truthfully and to the best of your knowledge.

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Who needs lgv enhanced surveillance form?

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Individuals who have been diagnosed with or are suspected of having LGV (lymphogranuloma venereum) may need to fill out the LGV enhanced surveillance form.

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What is lgv enhanced surveillance form?

LGV Enhanced Surveillance Form is a document used to track and monitor certain activities or behaviors related to LGV.

Who is required to file lgv enhanced surveillance form?

Anyone who is involved in activities that fall under the scope of LGV Enhanced Surveillance Program is required to file the form.

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The form can be filled out electronically or manually, following the instructions provided by the program administrators.

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The purpose of the form is to collect data and information to help in the surveillance and control of LGV.

What information must be reported on lgv enhanced surveillance form?

The form may require information such as personal details, activities related to LGV, locations, and dates.

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