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    Contact Us

    Infectious Disease Control Unit
    Mail Code: 1960
    PO BOX 149347 - Austin, TX 78714-9347
    1100 West 49th Street, Suite T801
    Austin, TX 78714

    Phone: 512 776 7676
    Fax: (512) 776-7616


    E-mail

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Vaccine Preventable Diseases logo

             

            Home      Investigation Guidance         Immunization           

Selected VPD Case Track Investigation Forms

                                       

Forms

 FORM                                       

 DSHS Stock Number     

Revision Date

Viral Hepatitis

Case Track Record (PDFPDF, 34.3KB)

EF11-10866

March 2013

Haemophilus influenzae

 Case Track Record (PDFPDF, 31.2KB) 

EF11-10871

October 2012

Measles

Case Track Record (Rash-Fever Illness) (PDFPDF, 98.4.KB)

EF11-10868

November 2012

Mumps

 Case Track Record (PDFPDF, 34.3KB)

EF11-10869

February 2013

Pertussis

Case Track Record (PDFPDF, 27.4KB)

EF11-10870

December 2013

Pertussis Death

 Worksheet  (PDFPDF, 17KB)   CDC

(n/a)

May 2007

Rash-Fever Illness

 Case Track Record (PDFPDF, 98.4.KB)

EF11-10868

November 2012

Rubella

 Case Track Record (Rash-Fever Illness)

 (PDFPDF, 98.4.KB)

EF11-10868

November 2012

Tetanus

 Case Track Record (PDFPDF, 72.2KB)

EF11-10867

November 2012

Varicella

 Report Form (PDFPDF, 20.6KB)

EF11-11046

July 2012

Varicella Death

 Investigation Worksheet (PDFPDF, 91KB) CDC

(n/a)

May 2005

 

 

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Last updated March 06, 2014