Fill and Sign California Legal Forms

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19713

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This form is used for reporting cases of mumps in the state of California.

This form is used for reporting malaria cases in California. It gathers information about the affected individual and helps track and monitor the spread of the disease.

This form is used for reporting cases of pertussis (whooping cough) in the state of California. It helps to track and monitor the spread of the disease and gather important information for public health purposes.

This form is used for reporting cases of Leptospirosis in California. It helps health authorities track and respond to the spread of the disease.

This form is used for reporting cases of Babesiosis in California. It contains important information about the disease and helps in tracking and monitoring its prevalence.

This form is used for reporting cases of Lyme Disease in California. It allows healthcare providers to provide essential information about the patient, their symptoms, and possible exposure to ticks.

This form is used for reporting poliovirus infection or poliomyelitis cases in California. It collects information on individuals affected by the disease to monitor and respond to outbreaks.

This form is used for reporting supplemental information for pertussis cases in California that are 4 months of age or younger.

This form is used for laboratory personnel in California to establish their qualification for working in a laboratory.

This form is used for reporting cases of Psittacosis in California. It is required to document information about the infected person, including their symptoms and potential sources of exposure.

This form is used for reporting cases of human rabies in the state of California. It includes information about the patient, their medical history, and potential sources of exposure to the rabies virus.

This form is used for reporting cases of plague (human) in the state of California.

This form is used for reporting cases of rubella (German measles) in California. It gathers information about the individual, their symptoms, and any possible sources of exposure.

This form is used for requesting a search of syphilis records from out-of-state healthcare providers in California.

This form is used for reporting Q fever cases in California. It helps health authorities track and monitor this infectious disease for public safety.

This form is used for reporting cases of relapsing fever in California. It helps track and study the spread of the disease.

This form is used for reporting severe cases of Community-Associated Staphylococcus Aureus Infection in California. It helps in tracking and monitoring the spread of this infection throughout the community.

This Form is used for the semiannual update of the Typhoid Carrier Register in California.

This document is a form used for reporting cases of Toxic Shock Syndrome (Non-streptococcal) in California.

This form is used for reporting cases of trichinosis in California. It helps track and monitor the occurrence of this disease for public health purposes.

This form is used for reporting supplemental investigations of West Nile Virus (WNV) infection cases in California.

This form is used for reporting cases of West Nile Virus (WNV) infection in California. It provides a standardized way to collect and track information about individuals diagnosed with WNV.

This Form is used for reporting and evaluating the follow-up and treatment of contacts to tuberculosis cases in California's Tuberculosis Program. It provides instructions for completing the CDPH8635 A-B Aggregate Reports.

This form is used for individuals in California who are carriers of typhoid and need to enter into an agreement with the state health department.

This form is used for reporting cases of hospitalized patients with varicella (Chicken Pox) in California.

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