Get Wvedss

The West Virginia Electronic Disease Surveillance System (WVEDSS) is essential for reporting certain diseases and health events accurately. This guide will provide you with detailed, step-by-step instructions to successfully complete the WVEDSS online form.

Follow the steps to fill out the WVEDSS form online

1. Click ‘Get Form’ button to obtain the form and access it in the editor.
2. Enter your printed name in the designated field. This identifies the individual completing the form.
3. Fill in your facility name. This will indicate the organization you are affiliated with.
4. Provide your mailing address, including city, state, and zip code, to ensure proper identification and communication.
5. Indicate your county in the respective field to specify the geographic area related to your report.
6. Provide your phone number for additional contact purposes.
7. Include your fax number if applicable, for any necessary document exchanges.
8. Enter your email address to facilitate electronic communication regarding your submission.
9. Select your system role by circling one option that best describes your position within the reporting structure.
10. Circle all relevant disease groups applicable to your reporting duties to categorize the information correctly.
11. Sign the form in the designated area. This confirms your agreement to the confidentiality and use terms.
12. If required, have the LHD Admin, Regional Epi, or Supervisor sign for additional verification.
13. Submit the completed form either by mailing or faxing it to the provided addresses. Ensure you keep a copy for your records.
14. If needed, confirm that all changes have been saved before finalizing your document submission.

Complete your WVEDSS form online today for accurate health reporting.