West Virginia Reportable Infectious Diseases Health Care - DHHR - dhhr wv 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Disease Name at the top of the form. This is crucial for accurate reporting.
3. Fill in the Patient’s Name, Date of Birth, and Guardian/Parent’s Name. Ensure all names are printed clearly.
4. Complete the address fields including City, State, and Zip Code. This information helps local health departments reach you if necessary.
5. Indicate whether the patient was hospitalized and provide details if applicable. This section is important for tracking disease spread.
6. Document laboratory tests, dates, and results in the designated area. Attach copies as needed for thoroughness.
7. Finally, review all entries for accuracy before signing and dating the form at the bottom. Keeping a copy for your records is recommended.

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