Report a Case: Forms/Contact Information

Please note that the links provided below may be inactivated over periods of time while a particular website is undergoing maintenance. If the link to the state you are selecting is not currently working, please check back with Hibdisease.com in a couple of days.


Alabama
www.adph.org/EPI/default.asp?TemplateNbr=0&DeptID=93&TemplateId=468

Alaska
www.epi.hss.state.ak.us/pubs/conditions/default.stm (contact)
www.epi.hss.state.ak.us/pubs/conditions/frmInfect.pdf (form)

Arizona
http://www.hs.state.az.us/phs/oids/provider_info.htm (main page)
http://www.hs.state.az.us/phs/oids/downloads/cdr_form.pdf (form)

Arkansas
www.healthyarkansas.com/data/data.html

California
www.dhs.cahwnet.gov/ps/dcdc/disb/disbindex.htm

Colorado
www.cdphe.state.co.us/dc/medlist01.pdf

Connecticut
www.dph.state.ct.us/BCH/infectiousdise/PDF/2001PhysicianRepDisList.pdf

Delaware
www.delaware-epi.org/delrpt.htm

District of Columbia
dchealth.dc.gov/services/administration_offices/phsa/bedc/reportable_diseases.shtm

Florida
http://www.doh.state.fl.us/disease_ctrl/epi/topics/crforms.htm

Georgia
http://health.state.ga.us/epi/disease/report.shtml

Hawaii
www.state.hi.us/health/resource/comm_dis/flu/address.htm

Idaho
http://www2.state.id.us/dhw/cdp/reportable_diseases.pdf (form)

Illinois
http://www.idph.state.il.us//health/infect/reportdis.htm

Indiana
www.in.gov/isdh/dataandstats/epidem/2002/feb/outbreak.pdf

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Iowa
http://www.idph.state.ia.us/eedo/cade_content/01lab.pdf

Kansas
www.kdhe.state.ks.us/disease_reporting/index.html (contact)
www.kdhe.state.ks.us/disease_reporting/download/Ks_disease_report_form.pdf (form)

Kentucky
http://chs.state.ky.us/ (main page)

Louisiana
www.oph.dhh.state.la.us/infectiousdisease/reportdisease/index.html

Maine
http://www.state.me.us/dhs/boh/ddc/DiseaseReporting.htm

Maryland
edcp.org/html/hc_prov.html

Massachusetts
http://www.state.ma.us/dph/cdc/epii/reportable/rprtbldiseases_md.pdf

Michigan
www.mdch.state.mi.us/pha/epi/cded/report.htm

Minnesota
www.health.state.mn.us/divs/dpc/ades/ades.htm

Mississippi
http://www.msdh.state.ms.us/msdhsite/index.cfm/14,877,192,pdf/ReportableDiseaseList%2Epdf

Missouri
www.health.state.mo.us/MoEpi/moepi202.html#disreporting

Montana
www.dphhs.state.mt.us/hpsd/pubheal/disease/commdis/qanda.htm

Nebraska
www.hhs.state.ne.us/cod/codreport.htm (contact)
www.hhs.state.ne.us/cod/HHS-9_(DC).pdf (form)

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Nevada
health2k.state.nv.us/disease/contacts.htm

New Hampshire
http://www.dhhs.state.nh.us/DHHS/BCDCS/CONTACT+INFO/default.htm (contact)

New Jersey
www.state.nj.us/health/cd/mdrepdis.pdf

New Mexico
sld.state.nm.us/lab/Documents/biological book.pdf (see page six)

New York
www.health.state.ny.us/nysdoh/cdc/cdcrept.pdf

North Carolina
www.epi.state.nc.us/epi/gcdc.html

North Dakota
www.health.state.nd.us/disease

Ohio
http://www.odh.state.oh.us/Resources/publications/IDCManual/dcmweb/frm5215.pdf

Oklahoma
http://www.health.state.ok.us/program/cdd/bluecard.pdf

Oregon
www.ohd.hr.state.or.us/cdpe/guideln/forms/pertuss.pdf (form)
www.ohd.hr.state.or.us/acd/disrpt.htm

Pennsylvania
www.health.state.pa.us/cgi-bin/comm.cgi?COUNTY=All

Rhode Island
http://www.health.ri.gov/disease/communicable/epi2002.pdf (form)
http://www.health.ri.gov/disease/communicable/providers_repforms.htm (contact)

South Carolina
www.scdhec.net/hs/diseasecont/stdwk/PUBS/Rptdisea.pdf

South Dakota
www.state.sd.us/doh/Disease/report.htm

Tennessee
http://www2.state.tn.us/health/Downloads/ph-1600.pdf

Texas
www.tdh.texas.gov/ideas/report/report.htm

Utah
www.health.state.ut.us/els/epidemiology/ (contact)
www.health.state.ut.us/els/epidemiology/commdisease/forms/morbcard.pdf (form)

Vermont
www.state.vt.us/health/rptdisea.htm

Virginia
www.vdh.state.va.us/epi/epi1.pdf

Washington
www.doh.wa.gov/EHSPHL/Epidemiology/CD/default.htm

West Virginia
www.wvdhhr.org/bph/oehp/sdc/idep.htm

Wisconsin
www.dhfs.state.wi.us/dph_ops/lhdl.htm

Wyoming
wdhfs.state.wy.us/epiid/

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