Get (shiga-toxin Producing) And/or Hus Investigation Form - Arizona ...

Filling out the (Shiga-toxin Producing) And/or HUS Investigation Form for Arizona can be straightforward with the right guidance. This guide will provide you with clear, step-by-step instructions to ensure you complete the form accurately and efficiently online.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. Begin by filling out the patient information section. Include the patient's name, county, street address, and contact information. Make sure to indicate if the case is confirmed, ruled out, probable, or lost to follow up.
3. Provide report source details, including the reporter's name, occupation or school grade, initial report date, and contact information.
4. Fill out the clinical information section. Indicate symptoms experienced by the patient, including diarrhea, fever, nausea, vomiting, and abdominal pain. Provide relevant dates and additional clinical findings.
5. Complete the laboratory information section with the necessary details on clinical specimens, including toxin test results and culture identification. Attach lab results if applicable.
6. Provide epidemiological information, including travel history and food consumption details before the onset of illness. Answer the questions as thoroughly as possible.
7. Fill out the animal exposure information, additional exposure information, and any notes on sensitive occupations or locations that may be relevant.
8. Review all sections to ensure all information is complete and accurate. Once satisfied, save the changes to the form.
9. You can then download, print, or share the completed form as needed.

Start filling out the (Shiga-toxin Producing) And/or HUS Investigation Form online today.