Arkansas dept health 2026

1. Click ‘Get Form’ to open the Arkansas Department of Health Communicable Disease Reporting Form in the editor.
2. Begin by filling in your name and phone number in the 'Reporter' section. Ensure that all information is printed legibly.
3. Next, enter the facility name and city where you are reporting from. This helps in identifying the source of the report.
4. For each report, start with 'Report #1'. Fill in the disease name and onset date accurately.
5. Provide patient details including first name, last name, date of birth, address, city, state, zip code, and phone number.
6. Indicate the patient's sex and race as required. This information is crucial for epidemiological tracking.
7. Complete the physician's details including their first and last names, city, and phone number.
8. Describe the reason for the patient's visit and include lab results along with clinical comments. Be thorough to ensure accurate reporting.

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