Get Mi Dch-0453 2006-2025

The MI DCH-0453 form is a crucial document required by the Michigan Department of Community Health for reporting communicable diseases in schools and preschools. This guide will walk you through the steps to efficiently complete the form online, ensuring all necessary information is accurately reported to local health departments.

Follow the steps to complete the MI DCH-0453 form online.

1. Click the ‘Get Form’ button to access the MI DCH-0453 form and open it in the online editor.
2. Enter the name of the school or preschool in the designated field.
3. Fill in the week ending date to indicate the reporting period for the data.
4. Provide the current school enrollment and the school district information in sections A, B, C, and D.
5. Record all confirmed or suspected cases of communicable diseases, including Measles, Mumps, and others, in the appropriate fields.
6. For each case, specify the disease, date first absent, child's name, age/sex, grade, and address.
7. Indicate the number of cases diagnosed by a healthcare professional, parent, or teacher.
8. If there are no diseases to report, mark the designated area clearly.
9. After completing all sections, review your entries for accuracy. Once satisfied, save your changes.
10. You may download, print, or share the completed form as needed before mailing it to your local health department.

Complete your MI DCH-0453 online efficiently today!