Confidential Morbidity Reports should continue to be faxed to 951 358-5102 -TB Control 951 358-7922

Introduction from Public Health Officer 
Public Health Reporting Exempt from HIPAA

ABUSE: CHILD ABUSE, ADULT/ELDER ABUSE
Suspected Child Abuse Report Form 
Suspected Child Abuse Report Form Definitions and Instructions 
Report of Suspected Dependent Adult/Elder Abuse Form and Instructions

ARBOVIRAL DISEASE, including West Nile Virus and Encephalitis 
Arboviral Disease, including West Nile Virus (WNV), Case Definition 
West Nile Virus Diagnostic Testing Guidelines 
West Nile Virus Case Definition 
West Nile Virus Infection Case Report (formerly WNV Case History Form)
West Nile Virus Infection Case Report- Supplemental Investigation Form
Mosquito Borne Encephalitis, West Nile Virus (Wnv), St. Louis Encephalitis (Sle) And Western Equine Encephalomyelitis (Wee) Definition

AVIAN INFLUENZA - See INFLUENZA

BOTULISM 
Botulism Fact Sheet
Guidelines for the Diagnosis and Management of Botulism
More information located at Physician Protocols & Patient Information on Biological Agents

CANCER REPORTING
Confidential Physician Cancer Reporting Form
Patient Information Sheet regarding reporting 

DISEASE REPORTING
Disease Reporting Requirements 
Disease Reporting Requirements - Key Changes for Providers 
Disease Reporting Requirements - Information Needed to Conduct Disease Investigations 
Disease Reporting Requirements - Reportable Diseases: Notification by Laboratories 
Disease Reporting Requirements - Key Changes for Laboratories 
Confidential Morbidity Report Form (all except Tuberculosis and conditions reportable to DMV) 
Confidential Morbidity Report Form (Tuberculosis only) 
Confidential Morbidity Report Form (DMV) 
Confidential Fax Transmission Form

E. COLI 0157:H7 INFECTION 
E. Coli Fact Sheet 
Public Health Advisory on Reporting Shiga Toxin in Feces 
Public Health Alert - Reporting E. coli 0157:H7 Infections (from Sept. 2006)

EXPOSURE REPORTING
Communicable Disease Exposure Request Form Instructions
Communicable Disease Exposure Request Form 

HANTAVIRUS 
Hantavirus Pulmonary Syndrome FAQs – September 2012

HEPATITIS A 
Hepatitis A - New recommendations (2/2006)

HISTOPLASMOSIS
Histoplasmosis - Frequently Asked Questions

HIV/AIDS
HIV/AIDS Reporting Guidelines 
Adult HIV/AIDS Confidential Case Report (DHS 8641 A) 
Adult HIV Confidential Case Report Form 
Adult AIDS Confidential Case Report Form 
Pediatric HIV/AIDS Confidential Case Report Form
CDC Form 50.42B Adult/Pediatric Confidential Case Report

AVIAN INFLUENZA (H5N1) 
Avian Flu Information 
Reporting of Avian Influenza 
Suspect Avian (H5N1) Influenza Case Reporting Form
Infection Control and Avian Influenza Recommendations (from CDC)
Professional Guidance on Avian Influenza (from CDC)
CDC Key Facts: Info. about Avian Influenza (Bird Flu) and Avian Influenza A (H5N1 Virus) (from CDC)
Cumulative Number of Confirmed Human Cases of Avian Influenza A/(H5N1) Reported to WHO

PANDEMIC INFLUENZA
Pandemic Influenza Fact Sheet
Preparing for Pandemic Influenza by Dr. Gary Feldman, CHA Director
Fact Sheet: Safeguarding America Against Pandemic Influenza

LYMPHOGRANULOMA 
Reporting Lymphogranuloma Venereum (LGV) Guidelines 
Lymphogranuloma Venereum (LGV) Suspected Case Report Form

MEASLES 
Measles Differential Diagnosis Table 
Measles Travel Information 
Measles Information
Measles Case and Outbreak "Quicksheet"
Information about measles for the public and health professionals from the CDC

OCCUPATIONAL INJURY/ILLNESS
Doctor’s First Report of Occupational Injury or Illness 

PESTICIDE
To obtain a "Confidential Report Form" or the "Doctor's First Report of Occupational Injury or Illness Form" - click here

PERTUSSIS 
Pertussis Fact Sheet 
Tdap Vaccine Recommendations

RABIES
Rabies Control Investigation Report Form 
Rabies Post-Exposure Prophylaxis Guide

SARS - Severe Acute Respiratory Syndrome 
SARS Case Definition 
SARS Patient Screening Form 
In the Absence of SARS - Guidance for Surveillance, Clinical and Laboratory Evaluation, and Reporting
Supplemental Clinical Guidance for SARS
SARS Recommendations for Pre-Hospital Personnel 
SARS Diagnosis & Management
More information located under Diseases/Agents > SARS

SMALLPOX 
Evaluate a Rash Illness Suspicious for Smallpox 
Reporting Suspect Smallpox Cases 
Evaluating Patients for Smallpox Worksheet 
Reporting Adverse Events Following Smallpox Vaccine

STAPH (Staphylococcus aureus)
Information for Providers about MRSA Skin Infections 
Information for Patients about Staph/MRSA Skin Infections: English  |  Spanish
Information for Patients: Update On MRSA Resistant Staph In Men Who Have Sex With Men - February 2008 
Public Health Advisory, March 2008 - Severe Staphylococcus aureus Infections Now Reportable by Healthcare Providers

TUBERCULOSIS
Reporting Requirements for Tuberculosis 
Confidential Discharge Plan and Approval Form 
Procedures for Obtaining Discharge Approval of TB Suspects and Cases 
Criteria for Discharge of Smear Positive (+) Patients to High Risk Setting 
Criteria for Discharge of Smear Negative (-) Patients to High Risk Setting 
Criteria for Discharge of TB Patients 
I. Absence of High Risk Individuals in the Home 
II. High Risk Individuals in the Home 
Response Plan 
I. Non-Holiday 
II. Holiday, Weekend or After Hours Discharge 
Situations Requiring Discharge Approval 
Special Circumstances
Information for Patients: Tuberculosis General Information from the CDC

VACCINES

VARICELLA
Reporting Hospitalized Varicella Guidelines 
Varicella Surveillance Worksheet 
Varicella Death Investigation Worksheet Instructions 
Varicella Death Investigation Worksheet

WEST NILE VIRUS - See ARBOVIRAL DISEASE