Get Md131 Form

The Md131 Form is essential for notifying authorities of infectious diseases as mandated by the Infectious Diseases Act. This guide will assist you in completing the form accurately and efficiently in an online setting.

Follow the steps to fill out the Md131 Form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the particulars of the patient, including NRIC number, name in block letters, date of birth, gender, ethnic group, residential status, occupation, and residential address, ensuring all information is accurate.
3. Provide the telephone numbers for both home and office or mobile, as required.
4. Select the disease diagnosed from the provided list, ensuring to follow the guidelines on reporting timelines for each disease.
5. Complete the section for clinical confirmation by specifying if the diagnosis was clinical or confirmed by laboratory tests, and include relevant dates.
6. Document any travel history in the past month by listing countries visited along with relevant dates.
7. Fill in the particulars of the informant, including the name of the medical practitioner or scientist, their clinic or hospital address, postal code, physician code, and telephone number.
8. Sign and date the form to ensure that the information is validated.
9. Review all sections of the form for accuracy and completeness before proceeding.
10. Finally, save your changes and download, print, or share the completed form as required.

Complete your Md131 Form online today to ensure timely notification of infectious diseases.