Rapidly Fatal or Serious Community-associated Staphylococcus aureus Infection Case Report Form

This form is used to report community-associated Staphylococcus aureus to the Minnesota Department of Health.

on this page:
Form
Frequently asked questions
Diseases to report on this form
Returning the completed form
Order more forms

Form

Download a print version of the form:

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 forms

  • After filling out this form, please return it 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

Order more forms

Updated Thursday, 09-Jan-2014 11:47:25 CST