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LTC Respiratory Surveillance Line List - DIGITAL FORM

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$110.00
SKU: 3432E
$110.00

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This form is designed to provide surveillance of residents and staff with respiratory illness - influenza, COVID-19, etc.  This adaptation of a CDC resource helps nursing homes and assisted living facilities detect, characterize and investigate a possible outbreak within their community.  Specific instructions are provided on the back page.

The form provides for recording the dissemination of your facility's data to your local Public Health Department when indicated/required.

Download a sample today!


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*This this digital form is delivered as a form-fillable PDF and includes 1-year of updates.   To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment).  After 1- year, your update subscription will automatically renew.

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