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.
Q: What is the CDPH8525 Emergency Department or Flight Contact to Ebola Patient Interview Form?
A: The CDPH8525 form is an interview form used in California for emergency department or flight contact with a patient suspected of having Ebola.
Q: When is the CDPH8525 form used?
A: The form is used when there has been contact with a patient suspected of having Ebola in an emergency department or during a flight.
Q: What information does the form collect?
A: The form collects information about the contact, including their personal details, symptoms, exposure history, and travel history.
Q: Who is responsible for completing the form?
A: Healthcare providers, emergency department staff, or flight crew members who had contact with the suspected Ebola patient are responsible for completing the form.
Q: Why is the form important?
A: The form helps in assessing the risk of Ebola transmission and allows for appropriate public health actions to be undertaken to prevent the spread of the disease.
Form Details:
Download a printable version of Form CDPH8525 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.