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 via our Confidential FAX line on the bottom left corner of the form.
The COVID-19 Summary Intake form can be found at
https://www.okanogancounty.org/departments/resources/form.php#outer-3033sub-4966
Date of Report:*

MonthDayYear
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:*

ConfluenceFamily Health CentersMid Valley ClinicMid Valley HospitalNorth Valley Family MedicineNorth Valley HospitalThree Rivers Family MedicineThree Rivers HospitalOther
Optional Note:
(Examples: Clinic location, testing irregularities, test supply issues, testing event info, etc)
START Date of Count window:*

MonthDayYear
END Date of Count window:*

MonthDayYear
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