Get Dengue Case Investigation Form

The Dengue Case Investigation Form is essential for collecting data related to dengue cases. This guide provides comprehensive instructions on how to complete the form online in a clear and accessible manner.

Follow the steps to successfully fill out the Dengue Case Investigation Form online.

1. Click the ‘Get Form’ button to acquire the form and open it for editing.
2. Complete the patient information section by providing the patient’s last name, first name, date of birth, sex, address, phone number, and county of residence.
3. Indicate the race and ethnicity of the patient by checking the appropriate boxes.
4. Fill out the clinical information section, including the physician’s details and whether the patient was hospitalized.
5. Record the date of illness onset and indicate if the patient is deceased, providing the date of death if applicable.
6. In the clinical evidence section, document the presence of symptoms related to dengue.
7. Proceed to the epidemiology section and answer questions regarding blood donation, vaccination, pregnancy, and outdoor activity.
8. Complete the transmission mode and laboratory findings sections as relevant, providing particulars of any tests conducted.
9. Ensure to include any additional comments or pertinent epidemiological data in the designated sections.
10. Save your changes, and upon completion, you can download, print, or share the form as needed.

Begin filling out the Dengue Case Investigation Form online today.