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NJDOH ZIKA VIRUS PATIENT INFORMATION WORKSHEETCDRSS #: ___To request Zika Virus testing at PHEL, providers can call the patients local health department (LHD) or fax this completed form to request
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01
Obtain a copy of the Zika Viruscape May County form.
02
Start by providing your personal information such as your name, address, and contact details.
03
Fill in the required medical information related to potential Zika virus exposure or symptoms.
04
Answer all the questions in the form truthfully and accurately.
05
If you have traveled to Zika-affected areas, provide details of the countries visited and dates of travel.
06
If you have been diagnosed with Zika virus infection, indicate the date of diagnosis and any subsequent treatment received.
07
Attach any supporting documentation, such as medical reports or test results, if required.
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Submit the completed Zika Viruscape May County form to the designated authority or organization.

Who needs zika viruscape may county?

01
Anyone residing or visiting May County who suspects they may have been exposed to Zika virus or is experiencing symptoms related to the virus.
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The Zika virus in Cape May County refers to the presence and potential health risks of the Zika virus within that region, often monitored by public health authorities.
Individuals or organizations that are involved in activities related to mosquito control, reporting Zika cases, or any relevant health monitoring in Cape May County are generally required to file.
To fill out the Zika virus reporting forms in Cape May County, you need to complete the necessary documentation provided by the local health department, including specific details about the cases identified or mosquito control efforts.
The purpose of Zika virus monitoring in Cape May County is to track and manage the spread of the virus, ensuring public health safety and implementing measures to control mosquito populations.
Information that must be reported includes the number of identified Zika cases, mosquito breeding sites, control measures taken, and any related health data as required by the local health authorities.
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