HAN Public Alerts

Publication Date 
Alert ID 
Topic 
Title 
2020-07-02 5:18 PM46663379Laboratory Information
2020-06-30 10:01 PM46663288Opioid Concerns
2020-06-29 9:22 AM46663180West Nile Virus
2020-06-26 5:34 PM46663285VFC
2020-06-23 2:38 PM46663012Substance Abuse
2020-06-22 11:45 AM46663010West Nile Virus
2020-06-22 8:41 AM46663107COVID19
2020-06-19 6:25 PM46663007Infectious Disease
2020-06-19 11:05 AM46663004COVID19
2020-06-18 2:05 PM46663003Viral
false null [0, 1, 2, 3]

inter-facility infection prevention transfer form

An inter-facility infection prevention transfer form has been developed as part of a regional effort to improve communication between acute and long-term healthcare facilities. The purpose of the form is to convey information about a patient’s isolation precautions and the reason for their implementation to the receiving facility. The sending facility should record current infection and colonization information. The form is not intended to be a comprehensive documentation of microbiologic history and does not replace review of medical records and communication between care providers. 

Please fill out this form and send it with all patients being transferred between facilities, regardless of whether or not they require isolation.

Please click here for the form.

Questions or feedback about the form may be addressed by the CDPH HAI Unit: cdphhaiar@cityofchicago.org

Want to Receive Health Alerts from the Chicago Department of Public Health?
Learn more about the HAN and submit a membership request.

CDInfo Newsletter

CDInfo

Download the lastest and archived Communicable Disease Information (CDInfo) newletter!

VFC News Bulletins

VFC News Bulletins

Explore current and past versions of the VFC News Bulletins here.

Healthy Chicago Logo

City of Chicago Seal