Pennsylvania Medical Data Sheet

State:
Pennsylvania
Control #:
PA-SKU-2779
Format:
PDF
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Description

Medical Data Sheet

The Pennsylvania Medical Data Sheet (also known as the PA-CMS-48) is a form used for the collection and reporting of medical and health information related to the diagnosis and treatment of patients in the state of Pennsylvania. It includes information on patient demographics, diagnoses, medications, laboratory results, procedures, and other medical data. The form is used to document the care provided to patients, as well as to facilitate communication between healthcare providers. There are two types of Pennsylvania Medical Data Sheet: the Standard Form and the Expanded Form. The Standard Form contains only the essential information needed for basic medical care. The Expanded Form includes additional information needed for more detailed medical care, such as lab results, imaging results, and other specialized information.

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FAQ

To report a Public Health Emergency or AN IMMEDIATELY NOTIFIABLE CONDITION, please call 1-877-PA-HEALTH (1-877-724-3258) (available 24/7) Want to submit feedback?

For additional questions please contact us at 844-377-7367 from Monday through Friday 9 am to 5 pm EST or by emailing us at RA-DHEPCS@pa.gov.

If you have questions about Pennsylvania birth certificates, contact the Division of Vital Records using one of the following methods: Online contact form ? Allow two to three business days for a response. Call 724-656-3100 or toll-free at 844-228-3516, Mondays through Fridays am to pm.

?Contact Us (Health Statistics) If you would prefer to speak to one of our statisticians by phone, please call 717-782-2448 .

To report a public health emergency or an immediately notifiable condition (available 24/7): 1-877-PA-HEALTH (1-877-724-3258) Environmental Health Concerns: 717-787-3350. Email a complaint - please do not send COVID-19-related emails to this address.

The Pennsylvania Department of Health, Bureau of Epidemiology collects data on diseases affecting persons in the commonwealth including numbers of diseases, causes of diseases and locations of diseases. The Bureau of Epidemiology investigates disease outbreaks and epidemics.

More info

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Pennsylvania Medical Data Sheet