Dhhs 2124-2025

1. Click ‘Get Form’ to open the dhhs 2124 in the editor.
2. Begin by entering the NC Event ID# at the top of the form. This unique identifier is crucial for tracking the disease event.
3. Fill in patient details, including their last name, first name, middle name, birthdate, and suffix. Ensure accuracy as this information is vital for identification.
4. Complete the address section with the patient's street address, city, state, ZIP code, and county. This helps local health departments reach out if necessary.
5. Indicate the patient's age and sex. Check all applicable boxes for race and ethnic origin to provide comprehensive demographic data.
6. Answer questions regarding hospitalization and whether the patient died from the disease. This information is critical for public health records.
7. Provide lab results if available or indicate if they are pending. Attach any relevant documents directly within our platform for easy submission.
8. Finally, review all entered information for accuracy before submitting your report to ensure compliance with reporting regulations.

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