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Follow-up Instructions

Follow-up Instructions Form Follow-up instructions in PDF format

Keep this page and take it with you to your next appointment. Follow only the instructions checked below.

  • Provide the Emergency Department with the name and the number of your primary care physician so that the ED can send him or her a record of your emergency department visit.

  • You or your physician can get more information on the chemical by contacting: ____________________________ or ____________________________, or by checking out the following Internet Web sites: ________________________; ___________________________.

Signature of patient    _____________________________________ Date _____________

Signature of physician _____________________________________ Date _____________

Adapted from Medical Management Guidelines (ATSDR/CDC)

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Information for Onsite Non-Exposed/Non-Casualties

Information here aims to direct those unexposed yet onsite after an event:

  • See specific chemicals pages for more information on signs and symptoms for specific chemicals and chemicals groups.
  • See WISER to find out more information on chemical identification and chemical properties
  • See below section on community guidance after an event
  • Where can I get more information?
    • ATSDR can tell you where to find occupational and environmental health clinics. Their specialists can recognize, evaluate, and treat illnesses resulting from exposure to hazardous substances. You can also contact your community or state health or environmental quality department if you have any more questions or concerns.

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Information and Community Guidance Following an Event

Information here is aimed at community members who were not exposed and not onsite but that want further information.

Resources for Community Members (CDC/ATSDR)

  • ToxFAQs™
    • Fact sheet that answers the most frequently asked questions about a contaminant and its health effects.
  • Public Health Statement
    • Addresses the most frequently asked questions about exposure to hazardous substances and the effects of exposure on human health.
  • Community Environmental Health Presentations
    • CEHPs include information about specific types of exposures to hazardous substances, exposure routes and pathways, health effects, and how to prevent and minimize exposures.
    • For more information, contact:
      Agency for Toxic Substances and Disease Registry
      Division of Toxicology and Environmental Medicine
      1600 Clifton Road NE, Mailstop F-32
      Atlanta, GA 30333
      Phone: 1-800-CDC-INFO 888-232-6348 (TTTY)
  • Community's Role in Right-To-Know Law (EPA)
    • The Emergency Planning and Community Right-To-Know Act, called EPCRA, is also known as SARA Title III, but is commonly referred to as the Community Right-To-Know law or simply as EPCRA.
  • Worker Right-To-Know (OSHA)
    • Workers have a fundamental right, recognized in the Occupational Safety and Health Act (OSHA) law, to reasonably know what hazards they may be exposed to during the ordinary course of business or in the event of an accident.

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