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Form IMM-24 Pertussis Investigation Record - New Jersey
What Is Form IMM-24?
This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form IMM-24 Pertussis Investigation Record?A: The Form IMM-24 is a document used in New Jersey to investigate cases of pertussis, commonly known as whooping cough.
Q: Who needs to fill out the Form IMM-24 Pertussis Investigation Record?A: This form is typically filled out by healthcare providers, including doctors and nurses, who are responsible for reporting and investigating cases of pertussis in New Jersey.
Q: Why is the Form IMM-24 Pertussis Investigation Record important?A: This form helps public health officials track and monitor the occurrence of pertussis cases, which is crucial for preventing the spread of the disease and protecting public health.
Q: What information is required on the Form IMM-24 Pertussis Investigation Record?A: The form usually asks for details such as the patient's name, age, address, contact information, symptoms, healthcare provider information, and vaccination history.
Form Details:
- Released on July 1, 2012;
- The latest edition provided by the New Jersey 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 printable version of Form IMM-24 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.
Download Form IMM-24 Pertussis Investigation Record - New Jersey
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