Name That Service
Epidemic/Pandemic
Name that Person
Name That Form
Vital Records
100

Birth Control, physical exams, pap smear

What is Family Planning?

100

What Pandemic started in 2020

What is COVID?

100

HR Director 

Who is Amy Nixon?

100

Immunizations

What is Form 3231?

100

Biological or immediate family can request this with a proper ID

What is birth certificate?

200

Mammogram referral and Pap smear for patient that are menopausal, had a tubal ligation, or hysterectomy 

What is BCCP?

200

Highly contagious liver infection outbreak from 04/2020-11/2020

What is Hepatitis A?

200

Nursing Director 

Who is Amy Fenn?

200
Hearing, Vision, Dental, and Nutrition

What is Form 3300?

200

Anyone can get this without a social security number with proper ID

What is death certificate?

300
Tdap, Varicella, MMR, Polio

What is immunization?

300

Rash, Sore, swollen lymph nodes, Titer, Doxycycline or Penicillin 

What is Syphilis?

300

Emergency Preparedness

Who is Robert Baldwin?

300

Patients Maiden name, last Pap smear, last mammogram, and BCCP eligibility Income Requirement

What is Form 3151?

300

Can pick up at health department, most of the time state office mails this to the patient. Patient has to be registered by a physician. Used to help relieve chronic pain, and etc. 

What is THC Oil Card?

400

Gonorrhea, chlamydia, syphilis, HIV, Herpes

What is STI?

400

In 2022 Georgia started showing an increase in these cases. It enters the body through human-to-human contact. There is currently a two-dose vaccine available. 

What is Monkey Pox?

400

Accreditation/Quality Improvement Manager

Who is Miranda Helms?

400

Patient fill this out, list income, insurance, name date of birth, etc. 

What is Patient Income and Declaration?

400

Online vital records ordering system

What is Permitium?

500

Birth and death certificates

What is Vital Records?

500

First devastating epidemic in American history for thae state of Georgia in 1918

What is Spanish Flu?

500

Billing Supervisor

Who is Rhonda Ellington

500

Every patient sign, no matter the services, protects health information.

What is HIPPA Acknowledgement Form?

500

Vital Records System

What is GAVERS?

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