• This form is designed to collect key information on persons under investigation(PUIs), presumptive positive cases, and laboratory-confirmed COVID-19 case-patients, including:
  1. Demographic, clinical, and epidemiologic characteristics
  2. Exposure and contact history
  3. The course of clinical illness and care received
• Please find additional resources to assist in the completion and analysis of the COVID-19 Persons under Investigation and Case Report Form below:
  1. COVID-19 Persons Under Investigation and Case Report Form Instructions
  2. Data dictionary
• Please find COVID-19 persons under investigation and are report form below
  1. COVID-19 Persons under Investigation and Case Report Form
• For more information please find the link to CDC here https://www.cdc.gov/coronavirus/2019-ncov/php/reporting-pui.html