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New Hampshire Lyme Disease Case Report Form - Health Care Provider - New Hampshire
New Hampshire Lyme Disease Case Report Form - Health Care Provider is a legal document that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire.
FAQ
Q: What is the purpose of the Lyme Disease Case Report Form?
A: The Lyme Disease Case Report Form is used by health care providers in New Hampshire to report cases of Lyme disease.
Q: Who is required to complete the Lyme Disease Case Report Form?
A: Health care providers in New Hampshire are required to complete the Lyme Disease Case Report Form for all confirmed and probable cases of Lyme disease.
Q: What information is required on the Lyme Disease Case Report Form?
A: The Lyme Disease Case Report Form requires information such as the patient's demographics, clinical information, and laboratory test results.
Q: Is reporting Lyme disease cases mandatory in New Hampshire?
A: Yes, health care providers in New Hampshire are required to report all confirmed and probable cases of Lyme disease using the Lyme Disease Case Report Form.
Form Details:
- Released on March 1, 2014;
- The latest edition currently provided by the New Hampshire Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.
