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(Use CDC 52.12 for waterborne disease outbreaks; CDC 52.13 for foodborne disease outbreaks.) OTHER REPORTABLE DISEASE OR DISEASE OF UNUSUAL OCCURRENCE Confirmed Not confirmed Suspected Kind of outbreak/illness PERSONAL DATA FOR SINGLE CASE ONLY Patient name last first middle initial Address number, street City State RACE (check one) Date of birth Age County Sex ZIP code ETHNICITY (check one) African-American/Black White Asian/Pacific Islander Other.

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How to fill out the Cdph8554 online

The Cdph8554 form is crucial for reporting outbreaks and unusual diseases. This guide will provide clear instructions on how to complete the form accurately and efficiently online.

Follow the steps to confidently complete the Cdph8554 form.

  1. Click the ‘Get Form’ button to access the Cdph8554 form and open it for editing.
  2. Begin filling out the personal data section for a single case. Enter the patient's last name, first name, middle initial, address, city, state, race, date of birth, age, county, sex, and ZIP code. Ensure all information is accurate and complete.
  3. Indicate the patient's ethnicity by checking the appropriate box, and if they belong to the Asian/Pacific Islander category, check the specific subgroup.
  4. For outbreaks, fill out the location and scope section, including details such as the city, county, the name of the community or institution, and the population at risk. Record the numbers of persons investigated epidemiologically and those who are ill, along with the dates of onset for the first and last cases.
  5. Document the reason for the investigation, confirming whether the California Department of Public Health was notified.
  6. Provide a history of illness by summarizing the clinical course, characteristics of the epidemic, and incubation periods, along with the outcome of cases.
  7. Detail any diagnostic tests conducted, specifying the type of specimen, the date collected, the type of test performed, and the results.
  8. Conclude by summarizing the results of the investigation, noting probable sources and any additional relevant remarks.
  9. Finally, make sure to fill out the investigator section, providing the investigator's name, date of exposure, date of onset, telephone number, and agency name.
  10. Once you have filled out all the required fields, review the form for accuracy. You may then save your changes, download the completed form, print it, or share it as needed.

Complete the Cdph8554 form online today for efficient outbreak reporting.

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California Department of Public Health.

About. Dr. Tomás Aragón serves as the State Public Health Officer and Director, California…

The doctors, nurses, scientists, researchers, public health professionals and staff of CDPH's more than 200 programs display their dedication to public service through our core values: collaboration, competence, equity, integrity, respect, responsibility, trust and vision.

Dr. Mark Ghaly is the secretary of the California Health and Human Services Agency; he works with partners across sectors and disciplines to improve the lives and life chances of all Californians.

The Payroll and Benefit Services Unit (PBSU) provides services to the over 3,900 CDPH employees throughout California with payroll, benefits, and leave accounting issues and is responsible for ensuring the appropriate application of laws, rules, and bargaining unit contracts related to salaries and wages, health, ...

Tomás Aragón serves as the director of the California Department of Public Health and the State Public Health Officer, since January 4, 2021.

It was formerly known as the California Department of Health Services, which was reorganized in 2007 into the DHCS and the California Department of Public Health.

The California Department of Public Health (CDPH) Center for Health Care Quality (CHCQ) works to ensure that all Californians receive safe, effective, and quality health care, and it does so through regulatory oversight of licensed health care facilities, providers, and certain types of health care professionals.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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