Get Case Investigation Form For Measles

This guide provides clear and detailed instructions for completing the Case Investigation Form for Measles online. Whether you are a healthcare provider or involved in public health surveillance, this step-by-step approach will assist you in accurately filling out the form.

Follow the steps to complete the form effectively.

1. Press the 'Get Form' button to access the Case Investigation Form for Measles and open it in your online editor.
2. Begin by filling in the Epid number, which will be assigned at the Provincial Office, and provide the Name of the person completing the form. Indicate the Source of Data by selecting from options such as Caregiver, Clinician, or Medical records.
3. In the Patient Details section, enter the full name of the patient, select their gender, and input their date of birth or age if the date is unknown.
4. Complete the Health Facility details by entering the name of the facility attended, the attending clinician's name, and the health facility's street address along with contact numbers or email.
5. Proceed to Current Presentation and tick all applicable symptoms/signs. Record the Date of onset of rash and Date of presentation at the health facility.
6. In the Complications section, indicate any complications that occurred and note if Vitamin A was given. Also, complete the Final outcome by indicating whether the patient was admitted to a hospital or if specimens were collected.
7. Move to the Medical and Contact History section and provide information about potential measles exposure or travel during the past 7 to 28 days. Record the vaccination information, specifying if the patient received measles vaccination and when.
8. In the Response to Case section, indicate if the case was notified. Provide the dates for notification and investigation as required. Also, specify the action taken for contacts follow-up.
9. Once all fields are accurately completed, you may save changes, download, print, or share the form as necessary.

Start filling out the Case Investigation Form for Measles online today to ensure timely and accurate public health reporting.