Form CDPH9003 Acute Respiratory Illness Outbreak Report Form - Community and Congregate Settings - California

What Is Form CDPH9003?

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 the CDPH9003 Acute Respiratory Illness Outbreak Report Form?
A: The CDPH9003 form is a report form used to gather information about outbreaks of acute respiratory illnesses in community and congregate settings in California.

Q: What are community and congregate settings?
A: Community and congregate settings refer to places where people gather in large numbers, such as schools, daycare centers, nursing homes, and prisons.

Q: Why is the CDPH9003 form important?
A: The CDPH9003 form helps public health officials to monitor and respond to outbreaks of acute respiratory illnesses in community and congregate settings.

Q: Who is required to complete the CDPH9003 form?
A: Healthcare facilities, schools, and other organizations managing community and congregate settings are required to complete the CDPH9003 form when an outbreak of acute respiratory illness occurs.

Q: What information is collected on the CDPH9003 form?
A: The CDPH9003 form collects information about the facility, the number of cases and symptoms observed, infection control measures implemented, and other relevant details.

Q: Are there any penalties for not completing the CDPH9003 form?
A: Failure to complete the CDPH9003 form as required may result in penalties or fines imposed by the California Department of Public Health.

Q: Can individuals report outbreaks using the CDPH9003 form?
A: The CDPH9003 form is primarily intended for use by healthcare facilities, schools, and other organizations, but individuals can provide information to their local public health department to initiate the reporting process.