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Get Cdc Legionella Case Report Form Fillable

(Zip Code) -- Patient identifier information is not transmitted to CDC -- U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES CDC LEGIONELLOSIS CASE REPORT Centers for Disease Control and Prevention (CDC) Atlanta, Georgia 30333 CENTERS FOR DISEASE CONTROL AND PREVENTION (DISEASE CAUSED BY ANY LEGIONELLA SPECIES) Form Approved OMB No. 0920-0009 PATIENT INFORMATION 1. State Health Dept. Case No. 2. Reporting State: 3. (CDC Use Only) 4. County of Residence 5. State of Resi.

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