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Coronavirus Disease (COVID-19) is a disease caused by the newly emerged coronavirus SARS-CoV-2.
COVID-19 Case Report Form
The COVID-19 Case Report Formpdf icon collects key information on COVID-19 case-patients, including:
- Demographic, clinical, and epidemiologic characteristics
- Exposure and contact history
- Course of clinical illness and care received
CDC developed the case report form to standardize the reporting of information on COVID-19 cases. These data will help us:
- Better understand the virus and its impact on health outcomes
- Inform public health response to prevent further spread of SARS-CoV-2
Here are two additional resources to help reporting jurisdiction health departments complete the case report form:
Please note that…
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