Form PD-23 Reportable Disease Confidential Case Report - Connecticut

Form PD-23 Reportable Disease Confidential Case Report - Connecticut

What Is Form PD-23?

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.

FAQ

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.

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Form Details:

  • Released on January 1, 2021;
  • The latest edition provided by the Connecticut State Department of Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

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.

Download Form PD-23 Reportable Disease Confidential Case Report - Connecticut

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