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Covid-19 Case Report Form - New Hampshire
Covid-19 Case Report Form is a legal document that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire.
FAQ
Q: What is the Covid-19 Case Report Form?A: The Covid-19 Case Report Form is a document used to report confirmed cases of Covid-19 in New Hampshire.
Q: Who is required to fill out the Covid-19 Case Report Form?A: Healthcare providers and laboratories are required to fill out the Covid-19 Case Report Form when they diagnose or confirm a case of Covid-19.
Q: What information is included in the Covid-19 Case Report Form?A: The Covid-19 Case Report Form includes information such as the patient's demographics, symptoms, test results, and contacts.
Q: Is it mandatory to fill out the Covid-19 Case Report Form?A: Yes, it is mandatory for healthcare providers and laboratories to fill out the Covid-19 Case Report Form.
Q: Why is the Covid-19 Case Report Form important?A: The Covid-19 Case Report Form helps track and monitor the spread of Covid-19 in New Hampshire, allowing for early intervention and public health measures.
Q: Can individuals fill out the Covid-19 Case Report Form for themselves?A: No, the Covid-19 Case Report Form is meant to be filled out by healthcare providers and laboratories.
Q: Are the reported cases on the Covid-19 Case Report Form public information?A: Yes, the reported cases on the Covid-19 Case Report Form are considered public health information and may be shared with the public.
Q: What should I do if I suspect I have Covid-19?A: If you suspect you have Covid-19, you should contact your healthcare provider and follow their instructions for testing and self-isolation.
Form Details:
- Released on April 8, 2021;
- The latest edition currently provided by the New Hampshire Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.
