Get Dhmh 1281 Send To Your Local Health Department For ...

Filling out the DHMH 1281 form accurately is essential for reporting communicable diseases to the local health department. This guide will provide you with a clear, step-by-step approach to completing the form online to ensure that your submission is thorough and compliant.

Follow the steps to complete the DHMH 1281 form correctly.

1. Click ‘Get Form’ button to access the form and open it in your preferred editing tool.
2. Begin filling out the patient information section. You will need to enter the patient's last name, first name, middle initial, hospital number, and date of birth. Ensure that you type this information carefully.
3. Indicate if the patient is pregnant by marking the appropriate box for 'Yes' or 'No.'
4. Continue by providing the patient's age, complete address, including street, apartment, city, state, and zip code.
5. Fill out the ordering provider section, including their name, phone number, and address details.
6. Provide relevant details about the specimen, including the type of specimen collected and the date it was collected. Ensure you accurately mark the correct specimen type.
7. Enter the date the specimen was received and the date it was resulted to track the timeline of the specimen processing.
8. Document lab specifics, including the lab name, CLIA number, and the name of the lab director associated with the conducted tests.
9. In the results section, record the test name, results interpretation with reference ranges, and any critical values for Hepatitis results if applicable. Be detailed but concise.
10. After completing all fields, review your entries for accuracy. Once confirmed, save your changes. You may then download, print, or share the completed form as necessary.

Start completing the DHMH 1281 form online today to ensure accurate reporting of communicable diseases.