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Ventura County Public HealthCommunicable Disease ProgramSEXUALLY TRANSMITTED INFECTION CONFIDENTIAL MORBIDITY REPORT
PLEASE NOTE: Use this form for reporting only Sexually Transmitted Infections.
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How to fill out disease reporting forms
How to fill out disease reporting forms
01
Obtain the disease reporting form from the relevant health department or organization.
02
Fill out the patient's personal information including name, age, and contact information.
03
Provide details about the disease being reported, including symptoms, onset date, and diagnosis.
04
Include any relevant medical history or known risk factors.
05
Submit the completed form to the appropriate health authorities within the specified timeframe.
Who needs disease reporting forms?
01
Healthcare providers
02
Laboratories
03
Clinics and hospitals
04
Public health departments
05
Government agencies
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What is disease reporting forms?
Disease reporting forms are documents used to report information about specific diseases to health authorities.
Who is required to file disease reporting forms?
Healthcare providers and facilities are usually required to file disease reporting forms.
How to fill out disease reporting forms?
Disease reporting forms can typically be filled out electronically or on paper, following the instructions provided by the health authorities.
What is the purpose of disease reporting forms?
The purpose of disease reporting forms is to track and monitor the incidence of specific diseases in a population, to help prevent the spread of infectious diseases.
What information must be reported on disease reporting forms?
Information such as the type of disease, patient demographics, date of diagnosis, and healthcare provider information must be reported on disease reporting forms.
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