Ma 16293 2025

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The document is a reporting form from the Massachusetts Department of Public Health for long-term care and assisted living facilities to report clusters of influenza or respiratory illness. It outlines the necessary information to be collected, including facility demographics, vaccination status, cluster details, laboratory testing results, and control measures implemented. The form emphasizes the importance of timely reporting to health authorities when a cluster is identified.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (270 Votes)
2014	4.4 Satisfied (338 Votes)

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