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Get Calredie Local Health Department Staff Account Authorization Form
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How to fill out the CalREDIE Local Health Department Staff Account Authorization Form online
This guide provides detailed instructions for completing the CalREDIE Local Health Department Staff Account Authorization Form online. It's essential for local health department staff to accurately fill out this form to obtain the necessary access to the CalREDIE database, which is vital for managing public health information.
Follow the steps to successfully complete the form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Complete Section 1 with your registration information, including your first name, last name, street address, city, state, zip code, direct work phone number, and work email address. Ensure the email address you provide is your individual account preferred email.
- Once you have filled out the registration information and signed the agreement, save your changes. Prepare all four pages to be sent to your Local Health Liaison.
- After the Local Health Liaison has reviewed and signed the form, ensure that all documents, including the HIV Confidentiality Agreement, are packaged together.
Complete your documentation online to ensure you have the necessary access to support public health efforts.
Use of CalREDIE started on January 4, 2010 with a three-month pilot implementation including CDPH and three LHDs. During this pilot, participating jurisdictions and CDPH had access to real-time disease and laboratory reporting, and receipt of notifiable conditions in California.
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