Form

Pertussis: enhanced surveillance form

Surveillance form for GPs to use with patients after laboratory confirmation of whooping cough (pertussis), plus cover letter sent to GPs with the form.

• From: UK Health Security Agency
• Published: 15 October 2013
• Last updated: 5 March 2024 — See all updates

Applies to England

Documents

Pertussis enhanced surveillance form

MS Word Document, 140 KB

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Pertussis: GP surveillance letter

ODT, 40.1 KB

This file is in an OpenDocument format

This file may not be suitable for users of assistive technology.

Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email publications@ukhsa.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

The enhanced surveillance form is for the follow-up of laboratory confirmed Bordetella pertussis infection. The surveillance letter should accompany the enhanced surveillance form.

Published 15 October 2013
Last updated 5 March 2024 + show all updates

1. 5 March 2024

   Added rebranded documents.

2. 15 October 2013

   First published.