Get the free EBOLA VIRUS DISEASE SCREENING FORM FORM A - publichealth lacounty

FORM A EBOLA VIRUS DISEASE SCREENING FORM Acute Communicable Disease Control 313 N. Figueroa St., Rm. 212 Los Angeles, CA 90012 213-240-7941 (phone), 213-482-4856 (facsimile) publichealth.lacounty.gov/acd/

How to fill out ebola virus disease screening

How to fill out Ebola virus disease screening:

1. Obtain the necessary screening form: Start by acquiring the specific screening form for Ebola virus disease from a trusted healthcare provider or the appropriate government agency. This form contains a series of questions and checkboxes that need to be completed.
2. Read and understand the instructions: Take the time to carefully read and comprehend the instructions provided on the screening form. It is essential to understand the purpose of each question and how to properly respond.
3. Provide personal information: Begin by providing your personal information as requested on the form. This typically includes your full name, date of birth, gender, contact information, and any relevant identification numbers.
4. Answer screening questions truthfully: Proceed to answer the screening questions one by one. These questions usually relate to recent travel history, potential exposure to Ebola virus disease, symptoms experienced, and any contact with infected individuals. It is crucial to answer these questions truthfully, as it helps identify potential risks and ensure appropriate follow-up measures.
5. Seek assistance if needed: If you encounter any difficulties or have questions while filling out the screening form, do not hesitate to seek assistance from a healthcare professional or the designated authority. They will be able to guide you through the process and clarify any uncertainties.

Who needs Ebola virus disease screening:

1. Individuals traveling to or from high-risk areas: Individuals who have recently traveled to or from areas with active Ebola virus disease outbreaks may be required to undergo screening. This helps identify any potential carriers of the virus and prevent further spread.
2. Healthcare workers: Due to their direct contact with potentially infected individuals, healthcare workers may need to undergo regular Ebola virus disease screening. This is crucial for early detection and prevention of transmission within healthcare settings.
3. Individuals who have been in close contact with infected individuals: If someone has been in close contact with individuals diagnosed with Ebola virus disease, they may require screening to determine their own infection status. This aids in prompt identification and management of potential cases.
4. People showing symptoms of Ebola virus disease: Individuals displaying symptoms associated with Ebola virus disease, such as fever, body aches, fatigue, diarrhea, vomiting, or bleeding, should seek immediate medical attention and undergo screening to ascertain the cause of their symptoms.

It is important to note that the specific requirements for Ebola virus disease screening may vary depending on the country, region, or organization implementing the screening procedures. It is advisable to stay informed about the latest guidelines and regulations pertaining to Ebola virus disease screening in your area.

For pdfFiller’s FAQs

What is ebola virus disease screening?

Ebola virus disease screening is a process of testing individuals for the presence of the Ebola virus to prevent its spread.

Who is required to file ebola virus disease screening?

Healthcare workers, travelers to Ebola-affected areas, and individuals showing symptoms of Ebola are required to undergo ebola virus disease screening.

How to fill out ebola virus disease screening?

Ebola virus disease screening can be filled out by providing personal information, travel history, symptoms, and contact with Ebola patients.

What is the purpose of ebola virus disease screening?

The purpose of ebola virus disease screening is to identify and isolate individuals who may be infected with the Ebola virus to prevent its spread.

What information must be reported on ebola virus disease screening?

Information such as personal details, travel history, symptoms, and contact with Ebola patients must be reported on ebola virus disease screening.

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