Form CDPH4009 Confidential Case Report of Rh Hemolytic Disease of the Newborn - California

What Is Form CDPH4009?

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 CDPH4009 form?
A: The CDPH4009 form is the Confidential Case Report of Rh Hemolytic Disease of the Newborn in California.

Q: What is the purpose of the CDPH4009 form?
A: The purpose of the CDPH4009 form is to report cases of Rh Hemolytic Disease of the Newborn in California.

Q: Who is required to fill out the CDPH4009 form?
A: Healthcare providers and facilities who diagnose or treat cases of Rh Hemolytic Disease of the Newborn in California are required to fill out the CDPH4009 form.

Q: Is the CDPH4009 form confidential?
A: Yes, the CDPH4009 form is confidential and contains protected health information.

Q: What information is included in the CDPH4009 form?
A: The CDPH4009 form includes information about the newborn, the mother, the healthcare provider, and the diagnosis and treatment of Rh Hemolytic Disease.

Q: When should the CDPH4009 form be submitted?
A: The CDPH4009 form should be submitted within 7 days of the diagnosis or treatment of Rh Hemolytic Disease of the Newborn.

Q: Are there any fees associated with the CDPH4009 form?
A: No, there are no fees associated with submitting the CDPH4009 form.

Q: Can the CDPH4009 form be submitted electronically?
A: Yes, the CDPH4009 form can be submitted electronically through the California Department of Public Health's electronic reporting system.