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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CDPH8639
for the current year.
Form CDPH8639 Shigellosis Case Report - California
What Is Form CDPH8639?
This is a legal form that was released by the California Department of Public Health - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is form CDPH8639?
A: Form CDPH8639 is a Shigellosis Case Report used in California.
Q: What is Shigellosis?
A: Shigellosis is an infectious disease caused by the bacteria Shigella.
Q: What is the purpose of the Shigellosis Case Report?
A: The purpose of the Shigellosis Case Report is to collect data on cases of Shigellosis in California.
Q: Who fills out the Shigellosis Case Report?
A: Healthcare providers and laboratories fill out the Shigellosis Case Report.
Q: What information is included in the Shigellosis Case Report?
A: The Shigellosis Case Report includes information about the patient, symptoms, laboratory results, and possible sources of infection.
Q: Why is it important to report cases of Shigellosis?
A: Reporting cases of Shigellosis is important for surveillance and control of the disease.
Q: Is reporting cases of Shigellosis mandatory?
A: Yes, reporting cases of Shigellosis is mandatory in California.
Q: Are there any specific instructions for completing the Shigellosis Case Report?
A: Yes, detailed instructions for completing the Shigellosis Case Report can be found on the form itself.
Q: Can the Shigellosis Case Report be submitted electronically?
A: Yes, the Shigellosis Case Report can be submitted electronically if the local health department accepts electronic submissions.
Form Details:
- Released on November 1, 2016;
- The latest edition provided by the California Department of Public Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form CDPH8639 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
Download Form CDPH8639 Shigellosis Case Report - California
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