Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary
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Perinatal Hepatitis B Surveillance Form
Tuesday, December 6, 2011
This form may be used to report pregnant women who are HBsAg (Hepatitis Surface Antigen) positive to the Perinatal Hepatitis B Program. Print, fill out, and fax.
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Perinatal Hepatitis B Surveillance Form
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