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Get Tn Person Under Investigation (pui) And Case Report Form 2020-2025
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How to fill out the TN Person Under Investigation (PUI) And Case Report Form online
Filling out the TN Person Under Investigation and Case Report Form is an essential process for reporting health data accurately. This guide provides clear and detailed instructions to help you navigate through the form smoothly, ensuring that all necessary information is documented correctly.
Follow the steps to complete the form online effectively.
- Use the ‘Get Form’ button to access the form and open it in the online editor.
- Begin by entering the patient identifier information. Provide the patient's first and last name in the designated fields.
- Input the date of birth in the MM/DD/YYYY format and ensure accuracy, as this information is crucial for identifying the individual.
- Fill in the reporting jurisdiction and health department with the appropriate names and contact IDs as required.
- Assign and enter the case state/local ID and CDC 2019-nCoV ID in the specified sections.
- Provide the name and information of the interviewer, including last name, first name, affiliation, telephone, and email.
- Indicate the current status of the person under investigation by selecting the appropriate option from the given choices.
- Complete the sections related to ethnicity, sex, race, age, and report dates by filling in the details as applicable.
- Answer questions regarding recent symptoms, hospitalizations, and any relevant medical history by checking the suitable options.
- Provide details concerning any healthcare exposures, recent travel history, or contact with COVID-19 case patients.
- Once all fields have been filled out, review the information for accuracy and completeness.
- Save your progress, and then choose to download, print, or share the completed form as needed.
Start filling out the TN Person Under Investigation and Case Report Form online today for accurate and effective health reporting.
Person Under Investigation (PUI) and Case Report Form An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.
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