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Perinatal Hepatitis B Reporting

Primary and prenatal care providers should also report pregnant women who test positive for HBsAg. To refer an HBsAg-positive pregnant or post-partum woman to the Perinatal Hepatitis B Prevention Program, please complete and fax the following form to (408) 792-1304: Program Referral Form

Delivery hospitals should report all deliveries from HBsAg positive women. To report an HBsAg-positive delivery to the Perinatal Hepatitis B Prevention Program, complete and fax the following form to (408) 792-1304: Hospital Report Form

Infant care providers should report any cases of an HBsAg exposed infant/child. To notify the Perinatal Hepatitis B Prevention Program about an HBsAg-exposed infant/child, please complete and fax the following form to (408) 792-1304: Notification of HBsAg-exposed Infant/Child
Last updated: 8/24/2017 12:14 PM