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  • Diphtheria Supplemental Form - Kansas Department Of Health ...

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Ed Not a Case Probable Supplemental Form Status Not Done Form Complete Form in Progress Form Approved Form Sent to CDC Report Date* Suspect Deleted Unknown mm/dd/yyyy Date Investigation Started mm/dd/yyyy Patient Demographic Information * indicates required fields Last Name* First Name* Middle Name Age Unit Name Type* Date of Birth mm/dd/yyyy Days Weeks Unknown Months Years Race* (Check all that apply) American Indian or Alaska Native Asian Black or African American Native Hawai.

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Details of Notifiable Diseases Source Of Infection And Prevention Aids Chicken Pox Cholera Dengue Fever Diptheria Hepatitis-A Hepatitis-B Influenza Leprosy Malaria Measles Cerebro Spinal Fever5 more rows

Diseases reportable to the CDC include: Anthrax. Arboviral diseases (diseases caused by viruses spread by mosquitoes, sandflies, ticks, etc.) such as West Nile virus, eastern and western equine encephalitis. Babesiosis. Botulism. Brucellosis. Campylobacteriosis. Cancer. Candida auris, clinical.

Diseases you must report Notifiable diseaseWhether likely to be routine or urgent Enteric fever (typhoid or paratyphoid fever) Urgent Food poisoning Routine. Urgent if part of a cluster or outbreak Haemolytic uraemic syndrome (HUS) Urgent Infectious bloody diarrhoea Urgent30 more rows • Sep 12, 2024

The Kansas Department of Health and Environment is a state agency in Kansas, responsible for the state's public health system, medical records, and environmental sustainability.

Laboratory Reporting & Submission Requirements Carbapenem-resistant organism. Candida auris. Haemophilus influenzae if invasive disease. Listeria species. Mycobacterium tuberculosis. Neisseria meningitidis. Salmonella species. Shiga-toxin producing Escherichia coli (STEC)

A disease that, when diagnosed, requires health providers (usually by law) to report to state or local public health officials. Notifiable diseases are of public interest by reason of their contagiousness, severity, or frequency.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232