Please complete this form with as much detail as possible, including upload of available records and photos. 

An ADPH Medical Officer will review the information provided and determine if measles testing is indicated and approved. 

Please ensure that CDC Healthcare Provider Measles Control Measures are in place

  • Mask the presumptive measles patient immediately with procedure or surgical mask.
  • Isolate patient in a negative pressure room, if available, or in a private room with the door closed.
    • Do not use any regular exam room for at least 2 hours after the patient has left.
  • Do not allow measles patients to remain in the waiting room or other common areas.
  • Only staff with presumptive evidence of immunity should enter the patient's room.
  • Staff should use respiratory protection that is at least as protective as a fit-tested, NIOSH-certified, disposable filtering facepiece respirator regardless of presumptive evidence of immunity.

 

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