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Infectious Disease Report Form
About this template
An infectious disease report form is an official form that is submitted to a healthcare provider to report the onset of an infectious disease. Use this free Infectious Disease Report Form to collect data from patients who may have been exposed to an infectious disease. On your website, share the form by using a link from a landing page or social media post. Or you can have your patients fill out the form on your tablet or computer — for quick reporting and no printing costs!
With Jotform’s 100+ integrations, you can easily share responses with other platforms — like Dropbox — or have responses automatically converted to PDFs for easy readability. Just remember to keep your practice HIPAA compliant by keeping patient information secure, and stay compliant with our HIPAA Compliance Checklist. Setup a free Infectious Disease Report Form template in minutes and collect responses, reports, and other information you need to stay in the know with infectious diseases.
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