Get Mi Person Under Investigation (pui)/case Report Form Cover Sheet 2020-2025

The Michigan Person Under Investigation (PUI)/Case Report Form Cover Sheet is an essential document for healthcare providers when evaluating a suspected case of COVID-19. This guide provides comprehensive steps to fill out the form accurately and efficiently online.

Follow the steps to complete the form online

1. Press the ‘Get Form’ button to retrieve the form and open it in the editor.
2. Begin by entering patient information. Include the patient’s first name, last name, and date of birth. Ensure that the nCoV ID number is assigned before submitting any specimens for testing.
3. Next, fill in the reporting healthcare facility details. Provide the facility’s name, contact person, and their phone number to ensure proper communication.
4. Explain the reason for testing. Select the applicable option from the provided list, ensuring that you accurately represent the patient’s circumstances.
5. Complete the sections related to the individual's exposure history, symptoms, and current health status. Note any pertinent information regarding healthcare interactions or travel history.
6. If relevant, fill in the respiratory diagnostic testing results. Document all tests performed, their results, and any additional specimen IDs that apply.
7. After completing all sections, review the information for accuracy and completeness before submitting the form.
8. Finally, save changes to the document. You can then download, print, or share the form as needed.

Complete your PUI/Case Report Form online to ensure timely evaluation and testing.