Ebola Exposure Daily Symptom Monitoring Log
- Los Angeles County
- Los Angeles County Public Health Acute Communicable Disease Control Program (LACDPH ACDC)
- Resource Updated:
- Nov. 05, 2014
About this Resource
Printable PDF form to log contacts under Ebola Virus Disease surveillance.
Hospital staff caring for patients under investigation or patients with confirmed Ebola virus disease (EVD).
- Los Angeles Department of Public Health (LACDPH) log to monitor contacts under Ebola Virus Disease (EVD) surveillance.
- This log is intended to be utilized to monitor EVD contacts temperature and symptoms twice a day.
- Completed Ebola Exposure Daily Symptom Monitoring logs must be faxed to Acute Communicable Disease Control (ACDC) (Fax:213-202-5999).