Middle East Respiratory Syndrome (MERS) Person Under Investigation (PUI) Form

Region:
Los Angeles County
Source:
Los Angeles County Public Health Acute Communicable Disease Control Program (LACDPH ACDC)
Resource Updated:
Dec. 01, 2015
LACDPH MERS PUI Form

About this Resource

PDF form for a Patient Under Investigation when submitting samples for MERS-CoV testing.

Audience

Clinicians collecting clinical specimens for Persons Under Investigation for MERS

Key Takeaways

  • Form to fill out for a Patient Under Investigation when submitting samples for MERS-CoV testing
  • Clinician to fill out form after speaking to patient