Malaria Case Report Form
This form can be used to report Malaria (Plasmodium spp.) to the Minnesota Department of Health. Please report all patients (symptomatic or asymptomatic) who test positive for Plasmodium species.
On this page:
Form
Frequently asked questions
Diseases to report on this form
Returning the completed form
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Form
Download a print version of the form:
- Malaria Case Report Form (PDF: 52KB/2 pages) Updated 6/2012
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.
Diseases to report this form
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
- By mail (please mark the envelope "confidential") to:
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- Download a printable form.
- To receive a copy of this form by mail please call 651-201-5414.
