This is a legal form that was released by the Connecticut State Department of Public Health - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form PD-23?
A: Form PD-23 is a Reportable Disease Confidential Case Report.
Q: What is the purpose of Form PD-23?
A: The purpose of Form PD-23 is to report cases of reportable diseases in Connecticut.
Q: Who is required to fill out Form PD-23?
A: Healthcare providers, laboratories, and other entities are required to fill out Form PD-23 when they identify a reportable disease case.
Q: What information is included in Form PD-23?
A: Form PD-23 includes information about the patient, the reportable disease, and the healthcare provider who is reporting the case.
Form Details:
Download a fillable version of Form PD-23 by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Public Health.