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TUBERCULOSIS CONTACT RECORD Page of INDEX CASE: COUNTY: STATE CASE # LOCAL CASE#: CASE INFECTIOUS PERIOD Start: End: FORM COMPLETED BY: DATE: TYPE OF CASE/SUSPECT: Pulmonary Smear Po's. Pulmonary
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What is contact recordpdf - phpa?
Contact recordpdf - phpa is a form used to document and report contact information.
Who is required to file contact recordpdf - phpa?
All individuals or entities who have contact with patients or clients are required to file contact recordpdf - phpa.
How to fill out contact recordpdf - phpa?
Contact recordpdf - phpa can be filled out electronically or manually, providing contact details accurately.
What is the purpose of contact recordpdf - phpa?
The purpose of contact recordpdf - phpa is to ensure that accurate contact information is maintained and reported for regulatory compliance.
What information must be reported on contact recordpdf - phpa?
Contact recordpdf - phpa requires details such as name, address, phone number, and relationship to patient or client.
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