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General Case Investigation Form West Virginia Electronic Disease Surveillance System Division of Surveillance and Disease Control Infectious Disease Epidemiology Program Phone 304-558-5358 or 800-423-1271 in West Virginia Fax 304-558-8736 Disease Under Investigation indicates required fields Brucellosis Dengue Fever Dengue Hemorrhagic Fever Monkeypox Psittacosis Q Fever Other specify Severe Acute Respiratory Syndrome SARS Yellow Fever Investigati.

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The Case investigation form (CIF) is designed to collect data obtained from persons with suspected, probable, or confirmed mpox (also known as monkeypox) infection. Data may be collected. prospectively or retrospectively. This form comprises modules for both cases and for subsequent.

The Case investigation form (CIF) is designed to collect data obtained from persons with suspected, probable, or confirmed mpox (also known as monkeypox) infection. Data may be collected. prospectively or retrospectively. This form comprises modules for both cases and for subsequent.

1) The Case Investigation Form (CIF) is meant to be administered as an interview by a health care worker or any personnel of the DRU. This is not a self-administered questionnaire. 2) Please be advised that DRUs are only allowed to obtain 1 copy of accomplished CIF from a patient.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232