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Overdose Surveillance
and Response Program
Drug Overdose Quarterly Report
Quarter 1: January March 2024County of San Diego Health and Human Services Agency
Public Health Services
Epidemiology and
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How to fill out about form drug overdose
How to fill out about form drug overdose
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Gather relevant information such as the name and age of the individual experiencing the drug overdose.
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Who needs about form drug overdose?
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What is about form drug overdose?
The about form drug overdose is a standardized document used to report incidents of drug overdoses to relevant health authorities.
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Health care providers, emergency medical services, and law enforcement agencies are generally required to file the about form drug overdose.
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To fill out the about form drug overdose, individuals should provide specific details about the incident, including the patient's demographics, substances involved, and circumstances of the overdose.
What is the purpose of about form drug overdose?
The purpose of the about form drug overdose is to collect data for public health monitoring and prevention efforts related to overdoses.
What information must be reported on about form drug overdose?
Information that must be reported includes the date and time of the overdose, the type of drugs involved, the patient's age and sex, and details of the treatment provided.
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