OCPHD: Weekly Flu & RSV Count

Weekly Count: Flu, ILI & RSV

TAB button can move you to the next item & ENTER button can send the report
Reminder: Please continue reporting HCP-administered COVID-19 positive tests to OCPHD on the COVID-19 Summary Intake form
available online at
https://www.okanogancounty.gov/642/CH-Forms-Reference
under the Healthcare Professionals: Online Reporting Forms section,
or
by Confidential FAX to the number at the bottom left corner of the form.
Date of Report:

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Your Name:
If we have questions about the Count information you provide, it will be helpful to know who to contact to clarify the data entered.
Reporting for:

Other
Optional Note:
(Examples: Clinic location, testing irregularities, test supply issues, testing event info, etc)
START Date of Count window:

MonthDayYear
2 digit month, 2 digit day, 4 digit year
END Date of Count window:

MonthDayYear
2 digit month, 2 digit day, 4 digit year
TOTAL Number Tested
Number of POSITIVE tests for each category:
Flu / Influenza A
Flu / Influenza B
ILI / Influenza Like Illness
RSV / Respiratory Syncytial Virus
Should be Empty:

Weekly Count: Flu, ILI & RSV