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 CDPH8530 form?
A: The CDPH8530 form is the Healthcare Worker (Hcw) Contact to Ebola Patient Interview Form in California.
Q: What is the purpose of the CDPH8530 form?
A: The purpose of the CDPH8530 form is to conduct an interview with healthcare workers who have come into contact with Ebola patients.
Q: Who uses the CDPH8530 form?
A: The CDPH8530 form is used by healthcare workers who have been in contact with Ebola patients in California.
Q: What information does the CDPH8530 form collect?
A: The CDPH8530 form collects information about the healthcare worker's contact and exposure to Ebola patients, symptoms, and personal protective equipment (PPE) use.
Q: Is the CDPH8530 form specific to California?
A: Yes, the CDPH8530 form is specific to California.
Q: Is the CDPH8530 form mandatory?
A: Yes, healthcare workers who have had contact with Ebola patients in California are required to complete the CDPH8530 form.
Q: Can healthcare workers fill out the CDPH8530 form themselves?
A: No, the CDPH8530 form is typically filled out by healthcare facility or public health department staff who conduct the interview with the healthcare worker.
Q: What happens after the CDPH8530 form is completed?
A: After completing the CDPH8530 form, the information is used for monitoring and follow-up for potential Ebola exposure and to implement necessary infection control measures.
Q: Does the CDPH8530 form provide information on Ebola symptoms?
A: Yes, the CDPH8530 form collects information on the healthcare worker's symptoms, if any, related to potential Ebola exposure.
Form Details:
Download a printable version of Form CDPH8530 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.