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Form Approved OMB No. 09200128 Expiration Date: 00/00/0000Congenital Syphilis (CS) Case Investigation and Report Form 09200128 Attachment 3cLocal Use OnlyMother\'s Name: ___ Chart No.: ___ MothersCase
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How to fill out congenital syphilis case investigation

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How to fill out congenital syphilis case investigation

01
Obtain detailed medical history of the infant
02
Perform physical examination of the infant
03
Collect blood and other relevant samples for testing
04
Communicate with the mother to gather information on her health and pregnancy
05
Consult with a healthcare provider for treatment options

Who needs congenital syphilis case investigation?

01
Healthcare providers caring for newborns or infants with suspected congenital syphilis

What is Congenital Syphilis Case Investigation and Report Form?

The Congenital Syphilis Case Investigation and Report is a fillable form in MS Word extension required to be submitted to the specific address in order to provide specific info. It needs to be filled-out and signed, which may be done in hard copy, or by using a particular software such as PDFfiller. It helps to complete any PDF or Word document directly in your browser, customize it depending on your purposes and put a legally-binding electronic signature. Right away after completion, the user can easily send the Congenital Syphilis Case Investigation and Report to the relevant recipient, or multiple individuals via email or fax. The blank is printable as well from PDFfiller feature and options offered for printing out adjustment. In both digital and in hard copy, your form should have a neat and professional look. You can also turn it into a template for further use, so you don't need to create a new file from the beginning. Just customize the ready document.

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Congenital syphilis case investigation is the process of collecting and analyzing information about newborns who have been exposed to syphilis during pregnancy.
Healthcare providers and laboratories are required to file congenital syphilis case investigation.
Congenital syphilis case investigation can be filled out by providing information about the newborn's mother, prenatal care, syphilis test results, treatment, and follow-up.
The purpose of congenital syphilis case investigation is to track and prevent the transmission of syphilis from mother to child, and to ensure that newborns receive appropriate treatment and follow-up care.
Information that must be reported on congenital syphilis case investigation includes maternal syphilis status, prenatal care, syphilis test results, treatment provided, and newborn follow-up care.
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