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Adult Case Report Form
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Adult Case Report FormURL/globalassets/health/media-library/documents/planning-and-research/reports/hiv-reports/adult-case-report-form
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Final HIVSTD Surveillance Report 2015 Final
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Final HIVSTD Surveillance Report 2015 FinalURL/globalassets/health/media-library/documents/planning-and-research/reports/hiv-reports/annual-report
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CHIP Final Approved 3-17_14
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attainment) / 26 11. Evaluation and Community Report / 28 12. References / 28 13. Appendices ... and the Let’s Get Healthy California Task Force Report to help inform its discussions and priority-settingURL/globalassets/health/media-library/documents/planning-and-research/plans/community-health-improvement-plan/chip-final-approved-3-17_14
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LABORATORY TO LOCAL HEALTH DEPARTMENT LABORATORY REPORT NUMBER* (Specimen Accession Number or Other Unique ... CODE PHONE RACE: White Black Asian Hawaiian/Pacific Islander AmericanURL/globalassets/health/media-library/documents/diseases-and-condition/reporting-requirement/hiv--aids/standardhivlabreportform-june2015fillable
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CMR_DMV
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Diagnosis (mm/dd/yyyy) CONFIDENTIAL MORBIDITY REPORT PLEASE NOTE: Use this form for reporting lapses ... DEPARTMENT OF MOTOR VEHICLES (DMV) 1. If this report is based upon episodic lapses of consciousnessURL/globalassets/health/media-library/documents/diseases-and-condition/reporting-requirement/confidential-morbidity-reports/cdph110c_clb042011
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Severe Weather v6
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broken gas lines. Report downed electrical lines immediately by calling 911. To report a broken gas lines ... gov/disasterpreparedness Police Department http://www.longbeach.gov/police/default.asp Health andURL/globalassets/disaster-preparedness/media-library/documents/emergency-preparedness-plans/severe-weather-v6
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TB_CMR
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DISEASE BEING REPORTED CONFIDENTIAL MORBIDITY REPORT PLEASE NOTE: Only use this form for reporting ... SamoanNative Hawaiian Other (specify): ________Guamanian White Other (specify): _______________ Unknown OccupationalURL/globalassets/health/media-library/documents/diseases-and-condition/reporting-requirement/tb-laws-and-regulations/tb_cmr
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Dog Friendly Patio Sign
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Dog Friendly Patio Sign ... dogs and does not impact service and police dogs. Service and police dogs will continue to be allowed inURL/globalassets/health/media-library/documents/services/directory/food-safety-and-inspections/dog-friendly-patio-sign2a-083012b
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Fight the Bite Brochure (English)
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Fight the Bite Brochure (English) ... gov/health/WNV_info For more information: (562)570-4128 To report a dead bird please call (562)570-4128URL/globalassets/health/media-library/documents/inspections-and-reporting/reporting/vector-control/links-and-resources/wnv_brochure_english
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TB GOTCH LAW
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LAW). A Confidential Tuberculosis Suspect Case Report Form and Tuberculosis Discharge Care Plan must ... initial Confidential Tuberculosis Suspect Case Report Form as soon as the patient is considered a TBURL/globalassets/health/media-library/documents/services/clinics/tb-gotch-law
