Get Formulario 003 Msp

Filling out the Formulario 003 Msp is a vital process for notifying and investigating suspected epidemiological cases. This guide will walk you through each section of the form, ensuring you understand how to accurately complete it online.

Follow the steps to successfully fill out the form.

1. Press ‘Get Form’ button to download the form and access it in the editor.
2. Begin with the notification date. Enter the date of notification in the format ___/___/___ at the top of the form.
3. In the symptoms section, indicate the date of symptom onset by filling in ___/___/___, the consultation date ___/___/___, and whether hospitalization occurred by checking 'Yes' or 'No'. If 'Yes', specify the institution and the date of admission ___/___/___.
4. Next, complete the case data by entering the CI (identification number), full name in block letters, gender by indicating 'F' for female or 'M' for male, date of birth ___/___/___, and age in years, months, and days.
5. Provide residential details including neighborhood, address, department, locality, and contact number.
6. Fill in the notifier's details, including your full name, status as the notifier, and contact number.
7. In the additional information section, detail any clinical data by ticking 'Yes' or 'No' for symptoms such as fever, rash, and others as applicable, along with the date of onset if necessary.
8. Complete the vaccination history by indicating if vaccinations were administered for triple viral, triple bacterian, and varicella, along with the dates for the last doses.
9. Answer epidemiological background questions about recent contact with suspected or confirmed cases and potential risk exposures.
10. Provide information on confirmatory studies conducted by indicating 'Yes' or 'No' and specifying the type of study and results if applicable.
11. Finish with the evolution of the case section, detailing whether hospitalization in intensive care was required and any observations related to discharge status.
12. Finally, review the completed form for accuracy and then save any changes, download, print, or share the completed form as needed.

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