KS KDHE Reportable Disease Form 2020-2026 free printable template
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KANSAS REPORTABLE DISEASE FORM
Fax this form to your local health department or THE: 8774277318
Please include disease specific laboratory results, if available
To report urgent diseases, call the
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How to fill out KS KDHE Reportable Disease Form
How to fill out KS KDHE Reportable Disease Form
01
Obtain the KS KDHE Reportable Disease Form from the Kansas Department of Health and Environment website or your local health department.
02
Enter the patient's demographic information, including name, date of birth, address, and contact information.
03
Provide specific information about the disease being reported, including the date of diagnosis and any relevant symptoms.
04
Fill out the healthcare provider's information, including name, address, phone number, and signature.
05
Include any laboratory results or other relevant documentation to support the report.
06
Review the completed form for accuracy and completeness before submission.
07
Submit the form to the appropriate local health department or KDHE office as instructed.
Who needs KS KDHE Reportable Disease Form?
01
Healthcare providers, including doctors, nurses, and laboratories, are required to fill out the KS KDHE Reportable Disease Form when diagnosing or identifying certain communicable diseases.
02
Public health officials may also need to use the form for tracking and managing infectious disease outbreaks.
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People Also Ask about
What diseases are reportable to the CDC?
Nationally Notifiable Diseases Cholera. Cryptosporidiosis. Cyclosporiasis. Giardiasis. Hepatitis A. Legionellosis. Malaria* Salmonellosis.
What does it mean if a disease is reportable?
Notifiable disease. A disease that, when diagnosed, requires health providers (usually by law) to report to state or local public health officials. Notifiable diseases are of public interest by reason of their contagiousness, severity, or frequency.
What is the difference between reportable and notifiable diseases?
Reportable diseases are diseases that must be brought to the attention of ISDA immediately, as soon as identified. Notifiable diseases are diseases that must be brought to the attention of ISDA within 48 hours of discovery.
What makes a disease reportable?
A disease that, when diagnosed, requires health providers (usually by law) to report to state or local public health officials. Notifiable diseases are of public interest by reason of their contagiousness, severity, or frequency.
What are the reportable diseases in Kansas?
Suspected Act of Terrorism Anthrax. Botulism. Brucellosis. Plague. Tularemia. Q fever. Smallpox. Viral hemorrhagic fever.
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What is KS KDHE Reportable Disease Form?
The KS KDHE Reportable Disease Form is a document used to report cases of certain communicable diseases to the Kansas Department of Health and Environment.
Who is required to file KS KDHE Reportable Disease Form?
Healthcare providers, laboratories, and other mandated reporters are required to file the KS KDHE Reportable Disease Form when they diagnose or identify reportable diseases.
How to fill out KS KDHE Reportable Disease Form?
To fill out the KS KDHE Reportable Disease Form, complete the required fields including patient information, disease diagnosed, and relevant medical history, then submit it to the appropriate health department.
What is the purpose of KS KDHE Reportable Disease Form?
The purpose of the KS KDHE Reportable Disease Form is to collect data on the incidence and prevalence of communicable diseases to guide public health responses and manage outbreaks.
What information must be reported on KS KDHE Reportable Disease Form?
Information that must be reported includes patient demographics, the specific disease, date of diagnosis, and any relevant clinical information.
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