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Form CDPH8573 Ehrlichiosis / Anaplasmosis Case Report - California
What Is Form CDPH8573?
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 CDPH8573?
A: Form CDPH8573 is a case report form for Ehrlichiosis/Anaplasmosis in California.
Q: What is Ehrlichiosis and Anaplasmosis?
A: Ehrlichiosis and Anaplasmosis are tick-borne diseases caused by bacteria.
Q: Who is required to fill out Form CDPH8573?
A: Healthcare providers treating patients with suspected or confirmed Ehrlichiosis/Anaplasmosis in California are required to fill out this form.
Q: What information is required on Form CDPH8573?
A: The form requires information about the patient's demographics, clinical presentation, laboratory test results, and treatment.
Form Details:
- Released on May 1, 2012;
- 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 CDPH8573 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
Download Form CDPH8573 Ehrlichiosis / Anaplasmosis Case Report - California
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