Interim Local Health Departments Novel Coronavirus (NCV) Investigation Short Form

. For NCV patients under investigation (PUI), fill out the form below and send to eocreport@cdc.gov (subject line: NCV Patient
Form) or fax to 770-488-7107.  If information is incomplete, please send any information you have as soon as possible then send
an updated form when you obtain more information.
Case Definition: see Interim Guidance for State & Local Health Departments.

http://www.cdc.gov/coronavirus/ncv/downloads/Interim-NCV-investigation-short-form.pdf