Get Nz Case Report Form Malaria 2010-2025

The NZ Case Report Form Malaria is an essential document for reporting malaria cases. This guide will walk you through the online process of filling out the form, ensuring that you provide all necessary information accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the NZ Case Report Form Malaria and open it in an online platform.
2. Fill out the EpiSurv Number, followed by the Reporting Authority, including the name of the Public Health Officer responsible for the case and contact information for the reporting source.
3. Provide your details as the notifier, selecting your reporting source from options such as General Practitioner or Self-notification. Include your organisation name, date reported, and contact phone.
4. Under Case Identification, enter the full name and NHI number of the case, and provide the current address and email contact information.
5. Complete the Case Demography section with the case's location, date of birth, sex, age, occupation, and any relevant alternative locations.
6. Indicate the ethnic group the case belongs to by ticking all that apply.
7. In the Basis of Diagnosis section, report the laboratory criteria, indicating whether the case is confirmed or under investigation, and tick any applicable Plasmodium species.
8. Record clinical course details, including the date of onset, hospitalisation status, and whether the case resulted in death. Provide the relevant dates and specify if the disease was a primary cause of death.
9. Document whether this case is linked to an outbreak and provide the Outbreak Number if applicable.
10. Specify risk factors, including travel history relevant to malaria exposure, and other risk factors that may apply.
11. Indicate if prophylaxis was prescribed and taken, and provide any additional comments regarding the case.
12. Once all information has been completed, save changes to the form, and you can download, print, or share the completed document as needed.

Start filling out the NZ Case Report Form Malaria online today.