Get Cdc 50.42a 2013

Filing out the CDC 50.42A form online is a straightforward process that helps ensure accurate reporting related to HIV surveillance. This guide provides step-by-step instructions to assist users in successfully completing this essential document, focusing on clarity and user-friendliness.

Follow the steps to accurately complete the CDC 50.42A form online.

1. Press the ‘Get Form’ button to retrieve the CDC 50.42A form and access it in the online editor.
2. Begin by filling out the patient identification section. Enter the patient's first name, middle name, last name, and any alternate names. Ensure all names are accurate to avoid potential confusion.
3. In the address section, provide the patient's complete address, including the type of residence. Select from options like ‘Residential’, ‘Foster Home’, or ‘Temporary’ as applicable.
4. Complete the phone number section with the appropriate area code and the number. This is important for contact purposes.
5. Proceed to the medical record number field if available; if not, leave it blank.
6. In the fields concerning the facility providing information, indicate the facility’s name, address, and telephone number. Specify the type of facility such as ‘Hospital’ or ‘Other’ and include relevant details.
7. Fill in the patient demographics section, including gender, date of birth, and ethnicity. Be sure to indicate if any data is unknown.
8. Document all the relevant laboratory data related to HIV testing by selecting the appropriate tests and indicating the results. Use the space provided for additional tests as necessary.
9. Provide detailed accounts of the patient's history and risk factors. Answer all questions regarding sexual behavior, drug use, and any previous HIV test history.
10. Once all sections are thoroughly completed and reviewed, you can save changes, download the filled form, print it, or share it as required.

Complete your documents online today to ensure accurate reporting and compliance.