Get Afp Case Investigation Form

The Afp Case Investigation Form is a crucial document used to gather and analyze data related to acute flaccid paralysis cases. This guide provides detailed, step-by-step instructions for completing the form online to ensure accurate submission and to support the surveillance efforts related to these cases.

Follow the steps to complete the Afp Case Investigation Form online effectively.

1. Use the ‘Get Form’ button to obtain the Afp Case Investigation Form and open it within your browser or document editor.
2. Start by filling in the date and epidemic number at the top of the form. Make sure to follow the format dd-mm-yy for all dates.
3. Indicate the province where the CIF was received, along with the country, case number, province code, district code, and year of onset.
4. Select the type of surveillance being conducted, choosing from active, routine, or retrospective.
5. Provide identification details including the nearest health facility to the patient's home, the patient's surname and name, and the name of a parent or guardian if applicable.
6. Fill out the patient's address, date of birth, and age in years and months.
7. In the clinical history section, specify the site of paralysis and the date of onset of paralysis.
8. Indicate whether the patient has received the birth dose of the oral polio vaccine (OPV) and detail their vaccination history.
9. Complete the notification and investigation section by noting the date notified and the contact information of the person notifying.
10. Fill in details regarding hospitalization, including whether the patient was admitted to the hospital and relevant dates.
11. Document the stool specimens collected, including collection dates, lab reference numbers, and conditions.
12. After the follow-up examination section, indicate the findings regarding residual paralysis as well as the date of the follow-up.
13. Complete the investigator's details including name, title, facility, and contact number.
14. Fill out the final classification section, including the EPI classification and any remarks that are pertinent.
15. Finally, save the form to preserve your changes, then you can download, print, or share the form as needed.

Complete the Afp Case Investigation Form online today for effective case management.