Get Communicable Disease Report Form

This guide provides detailed, step-by-step instructions on how to complete the Communicable Disease Report Form online. By following these instructions, users can ensure accurate and timely reporting of communicable diseases to health authorities.

Follow the steps to accurately complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Fill in section 1 with the patient’s information, including their name, date of birth, address, race, occupation or school, and guardian details if applicable.
3. Proceed to section 2, where you will report the diagnosis or suspected condition, outcomes, ethnicity, gender, reservation status, and whether the patient is a healthcare or food worker.
4. In section 3, provide the reporter and provider’s information, onset and diagnosis dates, lab test results, and specimen collection dates.
5. If applicable, complete section 4 for STDs and HIV/AIDS by detailing findings, symptoms, diagnosis, and treatment information.
6. Fill out section 5 for hepatitis results, including test outcomes and relevant details.
7. Complete section 6 for tuberculosis, stating the site of disease and treatment information.
8. Review all entries carefully, save changes, and choose to either download, print, or share the completed form as required.

Complete the Communicable Disease Report Form online to ensure efficient reporting.