Legionellosis Case Report Form - Minnesota Dept. of Health

Legionellosis Case Report Form

This form is used to report Legionellosis (Legionella spp.) to the Minnesota Department of Health.

On this page:
Legionella form & instructions
Frequently asked questions
Returning the completed form
Diseases to report on these forms

Legionella form & instructions

Frequently asked questions

  • If you have questions regarding this form, please call 651-201-5414.

  • When reporting on this form, a Yellow Card is not necessary.
    no yellow card

Returning the completed form

After filling out this form, please return to MDH:
  • By mail (please mark the envelope "confidential") to:
    Infectious Disease Epidemiology, Prevention and Control
    625 North Robert Street
    Post Office Box 64975
    St. Paul, MN 55164-0975
  • By fax to:
    651-201-5743

Diseases to report with this form

More about this disease

Updated Tuesday, 10-Jan-2017 12:00:47 CST