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Florida Department of Health, Practitioner Disease Report Form

Florida Department of Health, Practitioner Disease Report Form 2025

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The document is a Practitioner Disease Report Form from the Florida Department of Health, designed for healthcare providers to report various reportable diseases and conditions as mandated by Florida law. It includes sections for patient information, medical details, provider information, and specific instructions for notifying the health department about suspected or diagnosed cases of certain diseases. The form emphasizes the importance of timely reporting and provides links for additional resources related to disease reporting.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (151 Votes)
2014	4.4 Satisfied (263 Votes)
2009	4 Satisfied (58 Votes)

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What are the reportable specified diseases?

Reportable diseases include carpal tunnel syndrome, severe cramp of the hand or forearm, occupational dermatitis, hand-arm vibration syndrome, occupational asthma, tendonitis or tenosynovitis of the hand or forearm, any occupational cancer and any disease attributed to an occupational exposure to a biological agent.

What illnesses should be reported?

Diseases you must report Notifiable diseaseWhether likely to be routine or urgent Smallpox Urgent Tetanus Routine. Urgent if associated with injecting drug use Tuberculosis Routine. Urgent if healthcare worker, or suspected cluster or multi-drug resistant Typhus Routine30 more rows Sep 12, 2024

What are the guidelines for reporting communicable diseases in Florida?

Practitioners should immediately (24 hours a day, seven days a week) call their county health department about diseases designated as Suspect Immediately. Upon confirmation of the disease or presence of the agent, the practitioner should also call their county health department of confirmation.

What is considered a reportable disease?

A disease that, when diagnosed, requires health providers (usually by law) to report to state or local public health officials. Notifiable diseases are of public interest by reason of their contagiousness, severity, or frequency.

Which four diseases must be reported to the local health department of diagnosed?

Gonorrhea. Haemophilus influenza, invasive disease. Hansen disease. Hantavirus infection, non-Hantavirus pulmonary syndrome.

What diseases do you have to report to the health department?

Examples include: COVID-19 (Healthcare facilities only) Influenza. Respiratory syncytial virus (RSV) Gastrointestinal illness (GI) (Examples i.e: Norovirus, Salmonella, C. C. Carbapenem Resistant Organisms (CRO)/Carbapenemase Producing Organisms (CPO) Legionnaires disease (one or more cases) Scabies.

Which of these should be reportable diseases to public health?

Reportable Diseases DiseaseWhen to Report Rabies, human Immediately Rubella (including congenital) 1 day Salmonellosis (Salmonella) 3 days Severe acute respiratory syndrome (SARS) Immediately51 more rows

Florida Department of Health, Practitioner Disease Report Form 2025

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