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Retrieve Data Patient's Name: Address: LYME D DISEASE C ASE RE PORT Reset Form Phone No.: (City:) First Name: Detach before sending to CDC DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Disease
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What is odh lyme disease form?
The ODH Lyme Disease form is a document that is used to report cases of Lyme disease to the Ohio Department of Health.
Who is required to file odh lyme disease form?
Healthcare providers and laboratories in Ohio are required to file the ODH Lyme Disease form when they diagnose or confirm cases of Lyme disease.
How to fill out odh lyme disease form?
The ODH Lyme Disease form can be filled out electronically or manually. Healthcare providers and laboratories need to provide the required information, including patient demographics, symptoms, laboratory test results, and treatment information.
What is the purpose of odh lyme disease form?
The purpose of the ODH Lyme Disease form is to track and monitor cases of Lyme disease in Ohio. It helps the Ohio Department of Health gather data on the prevalence and distribution of the disease.
What information must be reported on odh lyme disease form?
The ODH Lyme Disease form requires information such as patient demographics, symptoms, laboratory test results, treatment information, and healthcare provider details.
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