Get Mn Disease Report Card 2018-2025

Completing the MN Disease Report Card online is a crucial step in reporting communicable diseases in Minnesota. This guide will provide you with clear instructions to ensure your submission is accurate and complete.

Follow the steps to effectively complete the MN Disease Report Card online.

1. Press the ‘Get Form’ button to access the MN Disease Report Card and open it in your preferred editor.
2. Begin by entering the patient demographic information. Fill out fields such as medical record number, patient name, address, city, state, phone numbers, and date of birth. Make sure to select the patient's sex and indicate if they are pregnant.
3. Next, provide information regarding the patient's delivery hospital, occupation, and place of work, school, or childcare. Indicate any relevant details such as food handling and contact with children in childcare.
4. Document the patient’s status at the time of reporting (alive, dead, or unknown). If applicable, include the date of death and its location.
5. Complete the race and ethnicity sections by checking all applicable options. Indicate hospitalization status and provide hospital name and dates of admission and discharge, as well as discharge location.
6. In the disease and laboratory information section, list the person reporting the case, disease type, and details about the institution or clinic involved. Record the onset date, lab findings, and reporting date.
7. Specify the test method used, along with the phone number of the reporting physician or healthcare provider. Include the source and relevant collection and result dates.
8. Finally, use the comments section to provide any additional information necessary. Review all entries for completeness and accuracy.
9. Once all fields are filled out, you can save your changes, download, print, or share the form as needed.

Take action now by completing the MN Disease Report Card online.