U.S. Department of Health and Human Services - Centers for Disease Control and Prevention Forms

This document provides instructions for completing a Tetanus Surveillance Worksheet, which is used to monitor cases of tetanus and track relevant information.

This document is used for reporting cases of Congenital Rubella Syndrome.

This form is used for tracking and reporting cases of tetanus infection. It helps in monitoring and collecting important information about each case to prevent the spread of the disease.

This form is used for reporting cases of Listeria infection as part of the CDC Listeria Initiative.

This form is used for reporting and tracking national outbreaks of waterborne diseases in the United States. It is part of the Waterborne Disease Transmission - National Outbreak Reporting System.

This form is used for returning payments or withdrawing from the Medicare EHR Incentive Program. It is used when healthcare providers need to reverse a previous payment or request to withdraw from the program.

This form is used for documenting and tracking the collection and shipping of blood specimens for testing related to chemical exposure.

This document is used for collecting and shipping urine samples for testing chemical exposure.

This document provides an overview of the facts and statistics pertaining to sexual violence, including its prevalence and impact. It is a resource for understanding the issue and raising awareness.

This document provides criteria and guidelines for different levels of biosafety in microbiological and biomedical laboratories. It helps ensure safety measures are in place to prevent the release of hazardous materials and protect laboratory personnel.

This Form is used for reporting cases of typhoid and paratyphoid fever to the CDC. It helps in monitoring and tracking the occurrence and spread of these diseases.

This document provides action steps for public health practitioners regarding self-measured blood pressure monitoring. It offers guidance on how to promote and implement this practice for better health outcomes.

This document provides statistics on traumatic brain injuries in the United States. It offers information on the prevalence and impact of these injuries.

This quick reference guide provides updated recommendations for laboratory testing for the diagnosis of HIV infection. It is a useful resource for healthcare professionals involved in the diagnosis and management of HIV/AIDS patients.

This document provides strategies and techniques for managing stress and promoting wellness after experiencing a traumatic event.

This document provides national statistics and data on diabetes. It includes information on the prevalence, risk factors, and impact of diabetes in the United States.

This document provides key information and statistics about strokes. It covers facts about the causes, symptoms, risk factors, and prevention of strokes. A must-read for those seeking to understand more about strokes and how to combat them.

This form is used for reporting cases of cholera and other vibrio illnesses to the Centers for Disease Control and Prevention (CDC). It helps in monitoring and tracking the spread of these diseases for public health purposes.

This Form is used for submitting health insurance claims. It is a standard form that healthcare providers use to request payment from insurance companies for the services they provide to patients.

This document is a module from the School Health Index and is focused on nutrition services in middle and high schools. It provides guidance on promoting healthy eating habits and improving the quality of food served at school.

This document is a School Health Index for middle and high schools, specifically focusing on physical education and other physical activity programs. It provides guidance and resources for improving these programs and promoting the health and well-being of students.

This form is used for tracking the treatment of latent tuberculosis (LTBI) including dosage, symptom monitoring, and treatment completion.

This Form is used for reporting cases of legionellosis, a type of pneumonia caused by Legionella bacteria.

This document provides strategies recommended by the CDC for reducing the consumption of sugar-sweetened beverages. It offers valuable guidance on how to make healthier choices and limit the intake of sugary drinks.

This document provides information about the HPV (Human Papillomavirus) Vaccine and what you need to know about it. It includes details on who should receive the vaccine and its effectiveness in preventing HPV-related diseases.

This document provides information about the HPV (Human Papillomavirus) vaccine, including what you need to know about it.

This document provides information and facts about high blood pressure. It covers symptoms, causes, risk factors, and possible complications. It also advises on prevention and management strategies.

This document provides the recommended schedule for child and adolescent immunizations, which includes vaccines for individuals who are 18 years old or younger. It ensures that children and teenagers receive the necessary vaccines to protect against various diseases.

This type of document is a tool used to audit the process of connecting and disconnecting catheters. It helps ensure proper procedures are followed to prevent infections and other complications.

This Form is used for conducting a Varicella Death Investigation. It provides instructions and a worksheet for documenting essential information related to deaths caused by varicella (chickenpox) infections.

This form is used for investigating deaths related to Varicella (chickenpox). It helps collect relevant information and provides a structured approach to the investigation process.

This type of document provides instructions on how to fill out a patient summary form for Acute Flaccid Myelitis (AFM). The form is used to gather important information about the patient's medical history and symptoms related to AFM. Following these instructions will help healthcare providers assess and treat the patient effectively.

This form is used for summarizing information about patients with Acute Flaccid Myelitis (AFM).

This Form is used for reporting cases of trichinellosis, a disease caused by eating undercooked meat infected with Trichinella parasites. It helps the CDC track and monitor the spread of this disease.

This document provides information and insights into intimate partner violence, its causes, and its impact on individuals and society. It aims to increase understanding and raise awareness about this important issue.

This document provides guidelines on what activities are considered aerobic for the purpose of physical activity. It includes examples of aerobic exercises like walking, running, cycling, and swimming.

This document provides summer sun safety tips to help protect your skin from sunburn and other harmful effects of the sun.

This type of document is a fitness assessment tool used to measure lower body strength and endurance. It involves repeatedly standing up from a chair and sitting back down within a specific time frame.

This document is used for reporting cases of perinatal HIV exposure to the Centers for Disease Control and Prevention (CDC).