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Confidential Communicable Disease Report Form - New Hampshire
Confidential Communicable Disease Report Form 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 Confidential Communicable Disease Report Form?
A: The Confidential Communicable Disease Report Form is a document used in New Hampshire to report cases of communicable diseases.
Q: Who is required to fill out the form?
A: Healthcare providers and laboratories are required to fill out the form.
Q: Is the information on the form confidential?
A: Yes, the information on the form is confidential and protected by state and federal laws.
Q: What should I do if I suspect a communicable disease?
A: If you suspect a communicable disease, you should contact your healthcare provider or local health department for guidance.
Q: What happens after I submit the form?
A: Once the form is submitted, the information is used for surveillance and monitoring of communicable diseases in New Hampshire.
Q: Are there any penalties for not reporting cases?
A: Yes, healthcare providers and laboratories can be subject to penalties for failure to report communicable diseases as required by law.
Q: Can I submit the form anonymously?
A: No, the form requires the name and contact information of the person reporting the case.
Q: Is there a deadline for submitting the form?
A: The form should be submitted within 24 hours of the healthcare provider or laboratory becoming aware of the case.
Form Details:
- Released on January 1, 2017;
- 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.
