DCH Form 1402 Pediatric HIV / AIDS Confidential Case Report Form - Michigan

DCH Form 1402 Pediatric HIV / AIDS Confidential Case Report Form - Michigan

What Is DCH Form 1402?

This is a legal form that was released by the Michigan Department of Health and Human Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DCH Form 1402?
A: The DCH Form 1402 is a Pediatric HIV/AIDS Confidential Case Report Form used in Michigan.

Q: What is the purpose of the DCH Form 1402?
A: The purpose of the DCH Form 1402 is to collect and track information about pediatric HIV/AIDS cases in Michigan.

Q: What information does the DCH Form 1402 collect?
A: The DCH Form 1402 collects information such as demographics, HIV testing history, and clinical data for pediatric HIV/AIDS cases.

Q: Who uses the DCH Form 1402?
A: The DCH Form 1402 is used by healthcare providers and laboratories in Michigan who diagnose or treat pediatric HIV/AIDS cases.

Q: Is the DCH Form 1402 confidential?
A: Yes, the DCH Form 1402 is a confidential form used to report pediatric HIV/AIDS cases and is protected under privacy laws.

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Form Details:

  • Released on May 18, 2020;
  • The latest edition provided by the Michigan Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DCH Form 1402 by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.

Download DCH Form 1402 Pediatric HIV / AIDS Confidential Case Report Form - Michigan

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