Congenital Syphilis Case Investigation and Report Form
Congenital Syphilis Case Investigation and Report Form
0920-0128 Attachment 5.2a CDC73 126
Congenital Syphilis Case Investigation and Report Form
OMB: 0920-0128
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0128 can be found here:
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| File Type | application/pdf |
| File Title | CDC73.126 FINAL Cong Syph |
| Author | maw2 |
| File Modified | 2006-12-07 |
| File Created | 2006-12-01 |