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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CDC50.42A
for the current year.
Form CDC50.42A Adult HIV Confidential Case Report Form
What Is Form CDC50.42A?
This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention on November 1, 2019 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is CDC50.42A form?
A: CDC50.42A form is the Adult HIV Confidential Case Report Form.
Q: Who is this form for?
A: This form is for reporting cases of HIV in adults.
Q: What information does the form require?
A: The form requires information about the patient's demographics, diagnostic tests, treatment, and risk factors.
Q: Is this form confidential?
A: Yes, this form is confidential and protected by patient privacy laws.
Form Details:
- Released on November 1, 2019;
- The latest available edition released by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form CDC50.42A by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention.
Download Form CDC50.42A Adult HIV Confidential Case Report Form
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