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  1. CDC 52.12 (PDF) Complete Form (read only, do not use for reporting) The complete CDC 52.12 contains sections for 4 categories of water and is posted here for reference only. Please choose the appropriate form below based on the type of water associated with the outbreak being reported. Treated Recreational Water: CDC 52.12 (PDF) Recreational ...

  2. Step 1: Receive Signed Visitor Questionnaire. You must apply for approval to visit by completing a Visitor Questionnaire (CDCR Form 106). Please obtain the Visitor Questionnaire by having the incarcerated person you wish to visit send the form to you.

  3. Syphilis. TBCBContactUs. Trichomoniasis. VRDL Guidelines for Specimen Collection and Submission for Pathologic Testing. COVID-19 Menu. Tweets by CAPublicHealth. Page Last Updated : To Top Back To Top. The California Department of Public Health is dedicated to optimizing the health and well-being of Californians.

  4. Visiting Questionnaire Form – Fill Out and Use This PDF. The Visiting Questionnaire form, or CDC 106, serves as a vital tool for officials at the California Department of Corrections to determine eligibility for visitation rights.

  5. TB Risk Assessment. California Adult Tuberculosis Risk Assessment and User Guide (August 2024 version) (PDF) Sign up to receive an email about TB prevention and Risk Assessment updates on the CDPH TB Control Branch webpage: California TB Risk Assessment and TB Prevention Email List .

  6. 31 Ιουλ 2024 · Filling out the CDC Dog Import Form. This form should be completed by the person importing (bringing) the dog into the United States (the importer, owner, or shipper). If the person importing the dog has difficulty completing this form such as due to a disability, this form may be filled out by someone else acting on behalf of the importer.

  7. To visit (Inmate Name and CDCR Number) ______________________________________________________at a California State Prison or Institution. With (Name of Accompanying Adult) _____________________________________________________________________for one year.

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