Ordering Infectious Disease Reporting Forms

These forms are available free of charge from the Minnesota Department of Health.

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Reporting Forms

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Yellow Disease Report Card
Form for reporting most infectious diseases.
Active Bacterial Core Surveillance (ABCs) Case Report Form
Used to report cases of Invasive Bacterial Disease.
HIV Reporting Form
Use for reporting HIV or AIDS.
  Sexually Transmitted Disease Reporting Form
Use for all sexually transmitted diseases.
STD Case Report Form can be downloaded and printed (PDF: 1.6MB/2 pages)
Reply Envelopes
Order reply envelopes to go with your reporting forms

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Orders also taken by:

By Mail: Minnesota Department of Health
625 North Robert Street
Post Office Box 64975
St. Paul, MN 55164-0975
By Phone: 651-201-5414 or 1-877-676-5414
By Fax: 651-201-5743

 

Updated Thursday, April 30, 2015 at 11:10AM