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Campylobacteriosis Case Report Form Confidential when completed PERSON REPORTINGHealth Authority: Name:FHA IHALastVIHA NHA VCR Phone Number: (FirstEmail:)Date completed :ext.YYY / MM / DDA. Client

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How to fill out campylobacteriosisohio department of health

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Visit the Ohio department of health website

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Locate the campylobacteriosis form or information

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Follow the instructions on the form or information carefully

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Provide all requested information accurately

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Submit the form or information as directed

Who needs campylobacteriosisohio department of health?

01

Individuals who have been diagnosed with campylobacteriosis and live in Ohio

02

Healthcare providers who are required to report cases of campylobacteriosis to the Ohio department of health

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What is campylobacteriosisohio department of health?

Campylobacteriosis is a bacterial infection that can affect the intestines. The Ohio Department of Health requires reporting of cases of campylobacteriosis for monitoring and public health purposes.

Who is required to file campylobacteriosisohio department of health?

Healthcare providers and laboratories are required to file reports of campylobacteriosis to the Ohio Department of Health.

How to fill out campylobacteriosisohio department of health?

Healthcare providers and laboratories can fill out the campylobacteriosis report form provided by the Ohio Department of Health.

What is the purpose of campylobacteriosisohio department of health?

The purpose of the campylobacteriosis report to the Ohio Department of Health is to track and monitor cases of the bacterial infection for public health surveillance.

What information must be reported on campylobacteriosisohio department of health?

The required information to be reported on the campylobacteriosis form includes patient demographics, symptoms, laboratory findings, and any potential exposures.

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