This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 43823?
A: Form 43823 is a Confidential Report of Communicable Diseases.
Q: What is the purpose of Form 43823?
A: The purpose of Form 43823 is to report communicable diseases in Indiana.
Q: Who is required to complete Form 43823?
A: Healthcare providers and laboratories are required to complete Form 43823.
Q: What information is included in Form 43823?
A: Form 43823 includes information about the communicable disease, the patient, and the healthcare provider.
Form Details:
Download a fillable version of Form 43823 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.