Form IMM-24 Pertussis Investigation Record - New Jersey

Form IMM-24 Pertussis Investigation Record - New Jersey

What Is Form IMM-24?

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-24 Pertussis Investigation Record?
A: The Form IMM-24 is a document used in New Jersey to investigate cases of pertussis, commonly known as whooping cough.

Q: Who needs to fill out the Form IMM-24 Pertussis Investigation Record?
A: This form is typically filled out by healthcare providers, including doctors and nurses, who are responsible for reporting and investigating cases of pertussis in New Jersey.

Q: Why is the Form IMM-24 Pertussis Investigation Record important?
A: This form helps public health officials track and monitor the occurrence of pertussis cases, which is crucial for preventing the spread of the disease and protecting public health.

Q: What information is required on the Form IMM-24 Pertussis Investigation Record?
A: The form usually asks for details such as the patient's name, age, address, contact information, symptoms, healthcare provider information, and vaccination history.

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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-24 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.

Download Form IMM-24 Pertussis Investigation Record - New Jersey

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