PDF
Word
State Form 43823 Confidential Report of Communicable Diseases - Indiana
What Is State Form 43823?
This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 43823?
A: Form 43823 is the Confidential Report of Communicable Diseases for the state of Indiana.
Q: What is the purpose of Form 43823?
A: The purpose of Form 43823 is to collect information about communicable diseases in Indiana in a confidential manner.
Q: Who is required to complete Form 43823?
A: Healthcare providers and laboratories are required to complete Form 43823 when they diagnose or identify a communicable disease in Indiana.
Q: What information is collected on Form 43823?
A: Form 43823 collects information such as the patient's demographics, symptoms, laboratory results, and treatment history.
Q: Is Form 43823 confidential?
A: Yes, Form 43823 is confidential and sensitive information is protected.
Form Details:
- Released on June 1, 2022;
- The latest edition provided by the Indiana State 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 fillable version of State Form 43823 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.
