Get Tn Ph-1600 2016-2026

Completing the TN PH-1600 form is essential for reporting communicable diseases and events in Tennessee. This guide provides clear, step-by-step instructions to help you fill out the form accurately and efficiently online.

Follow the steps to complete the TN PH-1600 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the patient name in the designated field to identify the individual being reported.
3. Indicate the patient's gender by selecting the appropriate box (male or female).
4. Select the ethnicity of the patient by checking the corresponding option (Hispanic or Not Hispanic).
5. Fill in the street address of the patient for accurate location data.
6. Input the date of birth in the format (MM/DD/YYYY) to ensure proper identification.
7. Select the gender again for the second patient (if applicable) and fill in their demographic information.
8. Record the onset date of the disease/event for the patient in the prescribed format.
9. Indicate whether the patient was hospitalized by checking 'Yes,' 'No,' or 'Unknown.'
10. If hospitalized, provide the admission date in the correct format (MM/DD/YYYY).
11. Document if the patient died during hospitalization and check the appropriate box.
12. Select if the patient is pregnant, indicating 'Yes,' 'No,' or 'Unknown.'
13. Record the STD treatment date (if applicable).
14. Fill in the discharge date using the required format.
15. Fill in the physician name responsible for the patient's care.
16. Include the facility or hospital name where the patient received care.
17. Enter the phone number of the facility or hospital for follow-up purposes.
18. Provide the specimen collection date and source for laboratory testing.
19. Document the test performed along with its result.
20. After completing the form, save your changes, and consider downloading, printing, or sharing the form as needed.

Complete your documents online to ensure efficient reporting.