Clinical Summary for Pediatric Healthcare Provider: Zika and Pregnancy | NLM

Disaster Information Management Research Center | NLM

Clinical Summary for Pediatric Healthcare Provider: Zika and Pregnancy

02/01/2019 12:00 AM EST

Source: Centers for Disease Control and Prevention (CDC). Published: 2/2019. This two-page form can facilitate communication about possible Zika exposure during pregnancy from an obstetrician to a pediatrician. The obstetrics provider can fill out the initial section about maternal Zika exposure or infection and then send the form to the pediatrician for infant follow-up. (PDF)