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Complete the LHJ Clinic Scheduling Form and LHJ New User List Form and email them to [email protected] with your name, and contact info (Put “LHJ Name – My Turn Onboarding” in the subject line). Section A: Case Demographics In the space provided per column, fill in each line with name, age, and gender of each person affected by the current outbreak at your facility. Beginning Monday, January 25 th, Chicago moved into Vaccination Phase 1b. This means we started to ramp up vaccination for Chicago residents 65+ and specific groups of highest-risk or front-line essential workers. Box 1810 Rancho Cordova, CA 95741-1810 (916) 464-7547 What happens next? The list of jobs deemed essential by the State of California during the COVID-19/coronavirus pandemic. The .gov means it’s official. Please differentiate residents (R) from staff (S). Healthcare workers and individuals 65+ in Los Angeles and San Diego Counties can book appointments immediately. Online appointment scheduling for other groups and residents of other counties will be available soon. COVID-19 CONTACT LINE LIST Complete a contact line list for every person under investigation and every confirmed Coronavirus disease 2019 (COVID-19) case Details of person under investigation/confirmed COVID-19 case Details of health official completing this form Today’s date DD/MM/YYYY NICD Identifier Date Symptom Onset CDPH Releases Reports on Healthcare-Associated Infections, Influenza Vaccination Rates Among Healthcare Personnel; CDPH Warns Consumers Not to Eat Sport-Harvested Bivalve Shellfish from Monterey County; CDPH Awarded Grant to Expand Child Safety-Seat Use; CDPH Awarded Grant to Study Motor-Vehicle Crash Injuries coronavirus disease-19 (covid-19) contact information form for long-term care facilities: residents– (3/18/2020) page 1 of 2 Instruction Sheet for Completion of the Long-Term Care (LTC) Acute Gastroenteritis Surveillance Line List . Los Angeles County Scabies Prevention and Control Guidelines, July 2009 SCABIES CASE/CONTACT LINE LIST FORM: EMPLOYEES Submitted by (Name & Title): _____ Date: _____ Can range from mild to severe. You may work at your usual worksite, if working from home is not possible. The California Department of Public Health (CDPH), Center for Health Care Quality, Licensing and Certification (L&C) Program licenses and certifies more than 30 types of healthcare facilities. If you are part of this essential workforce, you are exempted from the stay home order. State of Georgia government websites and email systems use “georgia.gov” or “ga.gov” at the end of the address. Local, state, and federal government websites often end in .gov. An Accenture Onboarding liaison will be in contact with you to work out the details of the onboarding schedule. test results race-- None --Negative White Pending Hispanic, Latino, or Spanish origin Current CDC symptom list includes: fever, cough, shortness of breath/difficulty breathing, chills/repeated shaking with chills, muscle pain, headache, sore throat, new loss of taste or smell. The Electronic Licensing Management System (ELMS) is a CDPH data system created to manage state licensing-related data and enforcement actions. California Department of Technology P.O. This is a pilot site. Ensure safety and effectiveness of COVID-19 vaccines Reduce transmission, morbidity, mortality of COVID-19 disease Help minimize disruption to … No None of the above symptoms. CDPH has successfully pushed out 96% of the vaccine Chicago has received.

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