Covid-19 Case Report Form - New Hampshire

Covid-19 Case Report Form - New Hampshire

Covid-19 Case 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 Covid-19 Case Report Form?
A: The Covid-19 Case Report Form is a document used to report confirmed cases of Covid-19 in New Hampshire.

Q: Who is required to fill out the Covid-19 Case Report Form?
A: Healthcare providers and laboratories are required to fill out the Covid-19 Case Report Form when they diagnose or confirm a case of Covid-19.

Q: What information is included in the Covid-19 Case Report Form?
A: The Covid-19 Case Report Form includes information such as the patient's demographics, symptoms, test results, and contacts.

Q: Is it mandatory to fill out the Covid-19 Case Report Form?
A: Yes, it is mandatory for healthcare providers and laboratories to fill out the Covid-19 Case Report Form.

Q: Why is the Covid-19 Case Report Form important?
A: The Covid-19 Case Report Form helps track and monitor the spread of Covid-19 in New Hampshire, allowing for early intervention and public health measures.

Q: Can individuals fill out the Covid-19 Case Report Form for themselves?
A: No, the Covid-19 Case Report Form is meant to be filled out by healthcare providers and laboratories.

Q: Are the reported cases on the Covid-19 Case Report Form public information?
A: Yes, the reported cases on the Covid-19 Case Report Form are considered public health information and may be shared with the public.

Q: What should I do if I suspect I have Covid-19?
A: If you suspect you have Covid-19, you should contact your healthcare provider and follow their instructions for testing and self-isolation.

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Form Details:

  • Released on April 8, 2021;
  • 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.

Download Covid-19 Case Report Form - New Hampshire

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  • Covid-19 Case Report Form - New Hampshire, Page 1
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