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LEGIONELLOSIS INVESTIGATION REPORT FORM
Local health departments should fax completed investigation form to regional DSS office.
Regional DSS offices should fax completed investigation form to 5127767616.
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How to fill out legionellosis investigation report form
How to fill out legionellosis investigation report form
01
Gather all relevant information such as patient details, symptoms, and potential sources of exposure.
02
Complete all sections of the form accurately and thoroughly.
03
Include any laboratory test results or other supporting documentation.
04
Submit the completed form to the appropriate public health authorities.
Who needs legionellosis investigation report form?
01
Healthcare professionals who diagnose or suspect cases of legionellosis.
02
Public health officials responsible for investigating and monitoring outbreaks of legionellosis.
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What is legionellosis investigation report form?
Legionellosis investigation report form is a document used to report cases of Legionnaires' disease and Pontiac fever to health authorities.
Who is required to file legionellosis investigation report form?
Healthcare providers and laboratories are required to file legionellosis investigation report form when cases of Legionnaires' disease or Pontiac fever are identified.
How to fill out legionellosis investigation report form?
The form must be filled out with information such as patient demographics, symptoms, test results, and possible sources of exposure.
What is the purpose of legionellosis investigation report form?
The purpose of the form is to track and investigate cases of Legionnaires' disease and Pontiac fever for public health surveillance and prevention.
What information must be reported on legionellosis investigation report form?
Information such as patient demographics, symptoms, test results, exposure history, and potential sources of Legionella bacteria must be reported on the form.
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