New Jersey Hepatitis C Investigation Letter (Short)

Form Template

Hepatitis C is a liver infection caused by the Hepatitis C virus.

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The infection can be acute or chronic and if left untreated, Hepatitis C can lead to serious health complications including liver disease. Hepatitis C is usually transmitted when blood from a person infected with the virus enters the body of someone who is not infected. Hepatitis C is a reportable communicable disease and must be confirmed by laboratory testing and communicated with a local health department. The New Jersey Hepatitis C Investigation Letter (Short) app is a template for the health department to gather information and lab results about patients with Hepatitis C infection. With the letter, the health department investigator can request information including the date of diagnosis and onset of the illness, whether the infection is acute or chronic, and any risk factors including a past blood transfusion, organ transplant, or long term dialysis. This app is an easy way for a local health department to efficiently gather vital patient information as a part of any infectious disease surveillance program.

Features
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Platforms
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Integrations
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