Forms / Guidelines / Recommendations,
including Public Health Reporting Guidelines
for all
Public Health Alerts, Advisories, Releases and Memos
2006 Public Health Reporting Guidelines
(7.8 MB PDF)Introduction from Public Health Officer
Public Health Reporting Exempt from HIPAAABUSE: 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 InstructionsARBOVIRAL 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) DefinitionAVIAN INFLUENZA - See INFLUENZA
BOTULISM
Botulism Fact Sheet
Guidelines for the Diagnosis and Management of Wound Botulism
More information located at Physician Protocols & Patient Information on Biological AgentsCANCER REPORTING
Confidential Physician Cancer Reporting Form
Patient Information Sheet regarding reportingDISEASE REPORTING
Disease Reporting Requirements
Reportable Conditions - Laboratory
Confidential Morbidity Report Form
Confidential Fax Transmission FormE. 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 FormHEPATITIS 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 ReportIMMUNIZATIONS - See VACCINES
INFLUENZA
Reporting of Severe Pediatric Influenza Cases and Deaths Guidelines
Severe Pediatric and Adult Influenza Case History Form
Influenza-Associated Pediatric Deaths Case Report Form
Enhanced Surveillance for Influenza and Guillain-Barré Syndrome (GBS)
Guillain-Barré Syndrome (GBS) Surveillance Case Report Form
Guillain-Barré Syndrome (GBS) Specimen Submittal Form
Influenza Guidelines for L&D Units and Nurseries
Guidelines For Managing Respiratory Illness In Clinical Settings
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 WHOPANDEMIC INFLUENZA
Pandemic Influenza Fact Sheet
Preparing for Pandemic Influenza by Dr. Gary Feldman, CHA Director
Fact Sheet: Safeguarding America Against Pandemic InfluenzaLYMPHOGRANULOMA
Reporting Lymphogranuloma Venereum (LGV) Guidelines
Lymphogranuloma Venereum (LGV) Suspected Case Report FormMEASLES
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 IllnessPERTUSSIS
Pertussis Fact Sheet
Tdap Vaccine RecommendationsRABIES
Rabies Control Investigation Report Form
Rabies Post-Exposure Prophylaxis GuideSARS - 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 > SARSSMALLPOX
Evaluate a Rash Illness Suspicious for Smallpox
Reporting Suspect Smallpox Cases
Evaluating Patients for Smallpox Worksheet
Reporting Adverse Events Following Smallpox VaccineSTAPH (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 to Stable Home Environment
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 CDCVACCINES
National Childhood Vaccine Injury Act – Compensation Tables
Vaccine Adverse Event Reporting System Form and Instructions
Reporting Adverse Events Following Smallpox Vaccine
Tetanus, Diphtheria, Pertussis (Tdap) Vaccine - What you need to know - Adult/Adolescent Immunizations Handout
Tetanus, Diphtheria, Pertussis (Tdap) Vaccine - What you need to know - Children's Immunizations Handout
VARICELLA
Reporting Hospitalized Varicella Guidelines
Varicella Surveillance Worksheet
Varicella Death Investigation Worksheet Instructions
Varicella Death Investigation WorksheetWEST NILE VIRUS - See ARBOVIRAL DISEASE
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