Get Hantavirus Case Hx And Submittal Form - California Department Of ... - Cdph Ca

This guide provides clear instructions on how to accurately fill out the Hantavirus Case Hx And Submittal Form online. Proper completion of this form is essential for the effective reporting and management of Hantavirus Pulmonary Syndrome cases in California.

Follow the steps to complete the form online effectively.

1. Click ‘Get Form’ button to access the Hantavirus Case Hx And Submittal Form and open it in your chosen editor.
2. Begin by entering the patient’s demographic information, including their last name, first name, and middle name, as well as their mailing address, age, date of birth, sex, occupation, health jurisdiction, and race/ethnicity.
3. Fill out the dates related to the patient’s illness, including the onset date and hospitalization details. Indicate whether the patient was hospitalized.
4. Complete the clinical signs and symptoms section by checking all relevant symptoms experienced by the patient. Include laboratory values that are necessary for proper diagnosis.
5. Provide information about the patient's exposure history, including any rodent exposure in the six weeks prior to illness.
6. Indicate the outcome of the illness and whether an autopsy was performed, if applicable.
7. Ensure that you have answered any questions about previous testing for hantavirus and attach any necessary comments or additional information.
8. Review all the entered information for accuracy and completeness before submitting the form.
9. Once complete, you can save changes, download, print, or share the form as needed.

Complete your Hantavirus Case Hx And Submittal Form online today to ensure accurate reporting.