Get Form Dhs 8641 P - California Department Of Public Health - State Of ... - Cdph Ca

Filling out the Form DHS 8641 P, a pediatric HIV/AIDS confidential case report, can be a crucial process for health reporting within the state of California. This guide will provide you with step-by-step instructions on how to accurately complete the form online, ensuring compliance with public health regulations.

Follow the steps to effectively complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by filling out the date the form is completed. Enter the month, day, and year.
3. In Section I, indicate the report status as either 'New' or 'Update' and provide the relevant health department information.
4. Continue to Section II for HIV and AIDS cases. Fill in crucial details like the individual's date of birth, gender, and last four digits of their Social Security Number (if applicable).
5. In Section III, provide demographic information. Fill out details regarding the age at diagnosis and the current status of the patient.
6. Moving to Section IV, enter the facility of diagnosis details. Include the name of the facility, the type of facility, and dates of medical evaluations.
7. Proceed to Sections V and VI where you will detail the residence at diagnosis and any patient history related to maternal health.
8. In Section VII, carefully record laboratory data including all HIV antibody tests, culture tests, and viral load test outcomes.
9. Continue with Section VIII about the clinical status of the patient, detailing any AIDS indicator diseases and their initial diagnosis.
10. Complete the birth history if applicable and check all relevant information regarding the mother and other health determinants.
11. In Section XI, outline any treatment or services the child has received, including neonatal care and treatments during pregnancy.
12. Finally, review all sections of the form for accuracy and completeness. Adjust any information as necessary.
13. Once all fields are filled out correctly, save changes to the form, and download or print it as needed. Share it with the appropriate health authorities.

Complete your documents online today to ensure timely health reporting and compliance with state regulations.