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Start by reading the instructions provided with the form
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Fill in your personal information such as name, address, date of birth, etc.
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Provide details about your medical history, including any previous diagnosis of immunodeficiency virus or hepatitis
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Who needs immunodeficiency virus and hepatitis?

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Individuals who suspect they may have been exposed to immunodeficiency virus or hepatitis
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Public health officials tracking the spread of immunodeficiency virus and hepatitis in the community
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Immunodeficiency virus refers to a group of viruses that attack the immune system, such as HIV. Hepatitis refers to inflammation of the liver, caused by various viruses such as hepatitis A, B, and C.
Healthcare providers and laboratories are typically required to report cases of immunodeficiency virus and hepatitis to public health authorities.
Immunodeficiency virus and hepatitis are usually reported using specific forms provided by public health agencies. These forms typically require information such as patient demographics, test results, and disease diagnosis.
The purpose of reporting immunodeficiency virus and hepatitis is to track and monitor the prevalence of these diseases, and to implement measures to prevent their spread.
Information such as patient demographics, disease diagnosis, test results, treatment history, and potential sources of infection may need to be reported on immunodeficiency virus and hepatitis forms.
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