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Form IMM-11 Measles Surveillance Worksheet - New Jersey
What Is Form IMM-11?
This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the form IMM-11?
A: Form IMM-11 is the Measles Surveillance Worksheet.
Q: What is the purpose of Form IMM-11?
A: The purpose of Form IMM-11 is to collect data on measles cases in New Jersey.
Q: Who uses Form IMM-11?
A: Form IMM-11 is used by healthcare providers and public health officials in New Jersey.
Q: What information is collected on Form IMM-11?
A: Form IMM-11 collects information on the demographics and clinical details of measles cases.
Form Details:
- Released on July 1, 2012;
- The latest edition provided by the New Jersey Department of 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 IMM-11 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.
Download Form IMM-11 Measles Surveillance Worksheet - New Jersey
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