Get Covid-19 Person Under Investigation (pui) Report Form Instructions

This guide provides you with clear instructions on how to accurately complete the COVID-19 Person Under Investigation (PUI) Report Form online. It aims to assist you through each section of the form to ensure comprehensive documentation of the necessary information.

Follow the steps to fill out the form correctly.

1. Use the ‘Get Form’ button to acquire the PUI Report Form. This will allow you to open the form in an online editor.
2. Begin with filling in the patient identifier information, including the patient's first and last name and date of birth. Ensure accuracy as this data is crucial for tracking.
3. Complete the reporting jurisdiction and health department sections necessary for identifying which health authority is handling the case.
4. Under the basic information section, indicate the current status of the person being investigated by selecting options like PUI, tested negative, or laboratory-confirmed case.
5. Fill out the date fields accurately. Enter the date of report submission to the CDC and the county and state of residence of the individual.
6. Provide demographic information, including ethnicity and sex of the individual. This helps in understanding population impacts.
7. Document any symptoms present, including their onset dates and whether the patient was hospitalized. This reflects the clinical severity and progression.
8. Record any relevant history, such as contact with healthcare facilities and travel history, particularly to areas associated with COVID-19 outbreaks.
9. If submitting specimen data to laboratories, ensure to note any specimen types collected, with dates and results being tracked accurately.
10. After completing the form, make sure to review all entered information for accuracy, then proceed to save changes, download, and print the form for your records.

Complete your documents online now to ensure accurate reporting.