Communicable Disease Assessment (CDA) 2026

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  1. Click ‘Get Form’ to open the Communicable Disease Assessment (CDA) in the editor.
  2. Begin by filling in your personal information, including your last name, first name, date of birth, and contact details. Ensure accuracy as this information is crucial for processing.
  3. Complete the section regarding your employment history with AHS/APL. If applicable, provide dates of service and location.
  4. In the Communicable Disease History section, answer questions about past infections and treatments. Be honest and thorough to ensure proper health assessments.
  5. Attach any required immunization records or test results related to diseases listed on the form. This may include MMR, Varicella, Hepatitis B, and others.
  6. Review all sections for completeness before printing. Remember that electronic signatures are not accepted; you must sign physically.
  7. Submit the completed form via email or fax as instructed. Ensure you send it within 90 days of employment regardless of record status.

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Continuing Education Activity Communicable diseases are illnesses caused by viruses or bacteria that people spread to one another through contact with contaminated surfaces, bodily fluids, blood products, insect bites, or through the air.
The purpose of this questionnaire is to screen for potentially contagious infectious diseases to protect patients as well as staff. If the patient has traveled, and/or has had contact with someone with a highly infectious disease, and reports being symptomatic, isolate the patient and ALERT YOUR SUPERVISOR.
Some examples of reportable communicable diseases include , hepatitis A, B, and C, measles, salmonella, measles, and blood-borne illnesses. The most common forms of spread include fecal-oral, food, sexual intercourse, insect bites, contact with contaminated fomites, droplets, or skin contact.
The most widely used classifications of disease are (1) topographic, by bodily region or system, (2) anatomic, by organ or tissue, (3) physiological, by function or effect, (4) pathological, by the nature of the disease process, (5) etiologic (causal), (6) juristic, by speed of advent of death, (7) epidemiological, and
Chickenpox (Varicella) Chikungunya. Coronaviruses (COVID-19) Cytomegalovirus (CMV) Dengue. Diphtheria. Ebola. Hepatitis. Hib Disease. /AIDS. HPV (Human Papillomavirus) Japanese Encephalitis. Measles. Meningococcal Disease. Mpox. Mumps. Norovirus. Polio. Rabies. Rotavirus. Rubella. Tuberculosis (TB) Whooping Cough (Pertussis) Zika.

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People also ask

The CBAC form consists of three sections. The first section covers general demographic information such as name, age, sex and address. The second section covers lifestyle habits such as smoking, alcohol consumption, physical activity, and diet. These are important factors in the development of NCDs and TB.
, hepatitis A, B, and C, measles, influenza, coronaviruses, and blood-borne infections are a few examples of communicable diseases. Hepatitis, in particular, is a type of communicable disease that spreads via the oral-faecal route.

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