Forms

27 documents

1. 

   Accidental Poisoning Investigation Form

   Case investigation form · July 2026 · PDF, 339 KB

   The case investigation form for accidental poisoning.

   Keywords: accidental poisoningcase investigation

   Download Accidental Poisoning Investigation Form, PDF
2. 

   Acute Flaccid Paralysis (AFP) – 60-Day Follow-Up Investigation

   Case investigation form · July 2026 · PDF, 185 KB

   Completed after a full neurological examination at 60 days, to assess any residual paralysis.

   Keywords: acute flaccid paralysiscase investigationpolio

   Download Acute Flaccid Paralysis (AFP) – 60-Day Follow-Up Investigation, PDF
3. 

   Acute Flaccid Paralysis (AFP) Investigation Form

   Case investigation form · July 2026 · PDF, 544 KB

   Completed and submitted to the parish Medical Officer (Health) within 48 hours of notification of a case of acute flaccid paralysis.

   Keywords: acute flaccid paralysiscase investigationpolio

   Download Acute Flaccid Paralysis (AFP) Investigation Form, PDF
4. 

   Chikungunya Case Investigation Form

   Case investigation form · July 2026 · PDF, 167 KB

   Every suspected case of chikungunya is investigated. The report is submitted within 48 hours using this form, but need not be limited to it.

   Keywords: case investigationchikungunya

   Download Chikungunya Case Investigation Form, PDF
5. 

   Congenital Syndrome Associated with Zika Virus Case Investigation Form

   Case investigation form · July 2026 · PDF, 283 KB

   Completed for each suspected case of congenital syndrome associated with Zika virus infection.

   Keywords: case investigationZika

   Download Congenital Syndrome Associated with Zika Virus Case Investigation Form, PDF
6. 

   Congenital Syphilis Investigation Form

   Case investigation form · July 2026 · PDF, 476 KB

   The case investigation form for congenital syphilis.

   Keywords: case investigationcongenital syphilis

   Download Congenital Syphilis Investigation Form, PDF
7. 

   COVID-19 Case Investigation Form

   Case investigation form · July 2026 · PDF, 272 KB

   The Parish Medical Officer (Health) starts a case investigation within 24 hours of notification, and a preliminary case or cluster report goes to the National Surveillance Unit within 24 hours. The form is also completed for each COVID-19 …

   Keywords: case investigationCOVID-19

   Download COVID-19 Case Investigation Form, PDF
8. 

   Dengue Case Investigation Form

   Case investigation form · July 2026 · PDF, 219 KB

   Completed from the findings of each case investigation. For a dengue death, the section on deaths is completed too, and the form is submitted within 72 hours of notification.

   Keywords: case investigationdengue

   Download Dengue Case Investigation Form, PDF
9. 

   Fever and Rash Case Investigation Form

   Case investigation form · July 2026 · PDF, 417 KB

   Completed by the first health care worker to see the case (the first contact strategy) and submitted to the parish Medical Officer (Health).

   Keywords: case investigationfever and rash

   Download Fever and Rash Case Investigation Form, PDF
10. 

    Hepatitis B Case Investigation Form

    Case investigation form · July 2026 · PDF, 356 KB

    Cases are investigated on this form. Reports go to the parish Medical Officer (Health) within two weeks.

    Keywords: case investigationhepatitis B

    Download Hepatitis B Case Investigation Form, PDF
11. 

    HIV-Exposed Infants and Paediatric Cases (Ages Less Than 12 Years)

    Case investigation form · July 2026 · PDF, 796 KB

    The report for infants exposed to HIV and for children under 12 with HIV.

    Keywords: case investigationchildrenHIV and AIDS

    Download HIV-Exposed Infants and Paediatric Cases (Ages Less Than 12 Years), PDF
12. 

    Leprosy (Hansen’s Disease) Case Investigation Form

    Case investigation form · July 2026 · PDF, 178 KB

    The case investigation form for leprosy (Hansen’s disease).

    Keywords: case investigationHansen’s disease

    Download Leprosy (Hansen’s Disease) Case Investigation Form, PDF