PDF
Word
Form SFN58464 Hospital Report for Perinatal Hepatitis B - North Dakota
What Is Form SFN58464?
This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of Form SFN58464?
A: The purpose of Form SFN58464 is to report cases of perinatal hepatitis B in North Dakota hospitals.
Q: What is perinatal hepatitis B?
A: Perinatal hepatitis B is a viral infection that is transmitted from a hepatitis B infected mother to her newborn baby.
Q: Who is required to fill out Form SFN58464?
A: North Dakota hospitals are required to fill out Form SFN58464 for each case of perinatal hepatitis B.
Q: What information is included in Form SFN58464?
A: Form SFN58464 includes information about the mother and infant, as well as details of the hepatitis B infection.
Form Details:
- Released on March 1, 2018;
- The latest edition provided by the North Dakota Department of Health and Human Services;
- 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 SFN58464 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
